RENUKA MALIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

RENUKA

Last Name

MALIK

Suffix

Business Name

RENUKA MALIK MD

Original Issue Date

08/05/2014

Effective Date

08/05/2014

Expiration Date

07/31/2017

City

NEW LENOX

State

Zip

60451

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020