JOHN MARKOS MAMALAKIS 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

JOHN

Middle

MARKOS

Last Name

MAMALAKIS

Business Name

JOHN MARKOS MAMALAKIS MD

Original Issue Date

10/14/2021

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023