ROBERT GERALD MALLOY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

ROBERT GERALD

Last Name

MALLOY

Suffix

Business Name

ROBERT GERALD MALLOY MD

Original Issue Date

01/01/1997

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

MUNDELEIN

State

Zip

60060

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023