SUSAN I MALONE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

SUSAN I

Last Name

MALONE

Suffix

Business Name

SUSAN I MALONE MD

Original Issue Date

06/15/1989

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

STREAMWOOD

State

Zip

60107

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017