JOSEPH B MALLORY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

JOSEPH B

Last Name

MALLORY

Business Name

JOSEPH B MALLORY

Original Issue Date

09/17/1984

Effective Date

07/15/2008

Expiration Date

07/31/2011

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

04/05/2020