JACINTHE VENTURA MALALIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

Title

First Name

JACINTHE

Middle

VENTURA

Last Name

MALALIS

Business Name

JACINTHE VENTURA MALALIS DO

Original Issue Date

06/15/2012

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

SYCAMORE

State

Zip

60178

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023