JOSEPH GEORGE MALIAKKAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

JOSEPH

Middle

GEORGE

Last Name

MALIAKKAL

Business Name

JOSEPH GEORGE MALIAKKAL MD

Original Issue Date

07/15/2022

Effective Date

07/15/2022

Expiration Date

07/31/2023

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/01/2024