ERIC MICHAEL MALLETT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

ERIC

Middle

MICHAEL

Last Name

MALLETT

Business Name

ERIC MICHAEL MALLETT MD

Original Issue Date

06/02/2010

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

ALGONQUIN

State

Zip

60102

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023