TIMOTHY WAYNE MALISCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

TIMOTHY WAYNE

Last Name

MALISCH

Suffix

Business Name

TIMOTHY WAYNE MALISCH MD

Original Issue Date

08/04/1997

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023