DAVID GUY MALEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

DAVID GUY

Last Name

MALEN

Suffix

Business Name

DAVID GUY MALEN MD

Original Issue Date

01/14/1982

Effective Date

01/14/1982

Expiration Date

07/31/1987

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006