FREDERICK DAVID MALKINSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

FREDERICK DAVID

Last Name

MALKINSON

Suffix

Business Name

FREDERICK DAVID MALKINSON MD

Original Issue Date

01/01/1997

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014