RAJIV MALLIK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

RAJIV

Last Name

MALLIK

Suffix

Business Name

RAJIV MALLIK MD

Original Issue Date

04/11/2007

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023