MEHER SARWAR MALLICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

First Name

MEHER

Middle

SARWAR

Last Name

MALLICK

Suffix

Business Name

MEHER SARWAR MALLICK MD

Original Issue Date

09/24/1998

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

RED BUD

State

Zip

62278

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023