ASHOK R MALLYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

ASHOK R

Last Name

MALLYA

Suffix

Business Name

ASHOK R MALLYA MD

Original Issue Date

01/27/1982

Effective Date

01/27/1982

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006