SEAN O'MALLEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

SEAN

Last Name

O'MALLEY

Business Name

SEAN O'MALLEY

Original Issue Date

05/08/1996

Effective Date

05/08/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006