JASON HAYWARD MALENFANT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

Title

First Name

JASON

Middle

HAYWARD

Last Name

MALENFANT

Business Name

JASON HAYWARD MALENFANT MD

Original Issue Date

05/22/2025

Effective Date

05/22/2025

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2025