NICOLE AMALIA MALEK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

AMALIA

Last Name

MALEK

Business Name

NICOLE AMALIA MALEK DO

Original Issue Date

05/06/2009

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023