MICHELLE R MALY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

Title

First Name

MICHELLE

Middle

Last Name

MALY

Business Name

MICHELLE R MALY DO

Original Issue Date

08/18/2016

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023