MALFORD TYSON PILLOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

MALFORD

Middle

TYSON

Last Name

PILLOW

Suffix

Business Name

MALFORD TYSON PILLOW MD

Original Issue Date

07/07/2008

Effective Date

07/07/2008

Expiration Date

07/31/2011

City

WAUKEGAN

State

Zip

60085

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011