GERARD J MALNAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

CANCELLED

Business

First Name

GERARD J

Last Name

MALNAR

Suffix

Business Name

GERARD J MALNAR MD

Original Issue Date

08/23/1996

Effective Date

08/23/1996

Expiration Date

07/31/2005

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006