LISA M MALONE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

MALONE

Suffix

Business Name

LISA M MALONE MD

Original Issue Date

01/11/1996

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

LYNWOOD

State

Zip

60411

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023