MALLORY PEREZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

MALLORY

Last Name

PEREZ

Business Name

MALLORY PEREZ MD

Original Issue Date

07/15/2023

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023