LAURA JESSICA MALMUT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

Title

First Name

LAURA

Middle

JESSICA

Last Name

MALMUT

Business Name

LAURA JESSICA MALMUT MD

Original Issue Date

02/28/2018

Effective Date

02/28/2018

Expiration Date

09/30/2020

City

ELK GROVE

State

Zip

60005

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021