TERRI L O MALLEY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

TERRI L

Last Name

O MALLEY

Business Name

TERRI L O MALLEY

Original Issue Date

07/17/1997

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

HARVARD

State

Zip

60033

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023