VERONICA T MALLETT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

VERONICA T

Last Name

MALLETT

Business Name

VERONICA T MALLETT

Original Issue Date

09/14/1987

Effective Date

09/14/1987

Expiration Date

07/31/1993

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006