ISMAIL OLADEJI MALIK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

ISMAIL

Middle

OLADEJI

Last Name

MALIK

Business Name

ISMAIL OLADEJI MALIK MD

Original Issue Date

01/02/2024

Effective Date

01/02/2024

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/02/2024