JAMES PARKER MALONE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****33

NOT RENEWED

N

JAMES

PARKER

MALONE

MD

JAMES PARKER MALONE MD

06/04/2002

04/13/2011

07/31/2014

SPRINGFIELD

IL

62794

SANGAMON

II III IV V

N

04/12/2017