BERNARD E OMALLEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

BERNARD

Middle

Last Name

OMALLEY

Business Name

BERNARD E OMALLEY

Original Issue Date

01/01/1997

Effective Date

07/31/2017

Expiration Date

09/30/2020

City

BELVIDERE

State

Zip

61008

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021