MEHRDAD MALEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

MEHRDAD

Last Name

MALEK

Suffix

Business Name

MEHRDAD MALEK MD

Original Issue Date

01/17/2003

Effective Date

06/27/2008

Expiration Date

07/31/2011

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011