ROBERT LAWRENCE MALENCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

ROBERT LAWRENCE

Last Name

MALENCH

Suffix

Business Name

ROBERT LAWRENCE MALENCH MD

Original Issue Date

01/01/1997

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014