ASHLEY SHAMIKA MALLORY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

ASHLEY

Middle

SHAMIKA

Last Name

MALLORY

Business Name

ASHLEY SHAMIKA MALLORY MD

Original Issue Date

11/25/2019

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023