MICHELLE R MALY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

MICHELLE

Middle

Last Name

MALY

Business Name

MICHELLE R MALY DO

Original Issue Date

09/02/2016

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021