THU THI MALIKOWSKI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

CANCELLED

Business

First Name

THU

Middle

THI

Last Name

MALIKOWSKI

Suffix

Business Name

THU THI MALIKOWSKI MD

Original Issue Date

07/25/2005

Effective Date

07/25/2005

Expiration Date

07/31/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008