NICK MAMALIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

NICK

Last Name

MAMALIS

Suffix

Business Name

NICK MAMALIS MD

Original Issue Date

03/06/1987

Effective Date

03/06/1987

Expiration Date

07/31/1987

City

ELMWOOD PARK

State

Zip

60635

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006