PETER GEORGE MALMQUIST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

PETER GEORGE

Last Name

MALMQUIST

Suffix

Business Name

PETER GEORGE MALMQUIST MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006