SHAISTA A MALIK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

First Name

SHAISTA A

Last Name

MALIK

Suffix

Business Name

SHAISTA A MALIK MD

Original Issue Date

06/30/1992

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

OTTAWA

State

Zip

61350

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023