MICHAEL BERNARD MALONEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

MICHAEL BERNARD

Last Name

MALONEY

Business Name

MICHAEL BERNARD MALONEY

Original Issue Date

12/03/1997

Effective Date

12/03/1997

Expiration Date

07/31/1999

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020