STEPHEN OSCAR MALLINGA MD 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

STEPHEN OSCAR

Last Name

MALLINGA

Suffix

Business Name

STEPHEN OSCAR MALLINGA MD

Original Issue Date

01/09/1991

Effective Date

01/09/1991

Expiration Date

07/31/1993

City

HARVEY

State

Zip

60426

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006