RICHARD WAYNE MALIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

RICHARD

Middle

WAYNE

Last Name

MALIS

Suffix

Business Name

RICHARD WAYNE MALIS MD

Original Issue Date

03/29/2001

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023