IS-HAQ OLADIPO MALIK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

IS-HAQ

Middle

OLADIPO

Last Name

MALIK

Business Name

IS-HAQ OLADIPO MALIK MD

Original Issue Date

03/17/2023

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023