RYAN J MALCOM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

First Name

RYAN

Middle

Last Name

MALCOM

Suffix

Business Name

RYAN J MALCOM MD

Original Issue Date

01/08/2002

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023