RYAN DAVID MALLORY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166970

License Status

ACTIVE

Business

Title

First Name

RYAN

Middle

DAVID

Last Name

MALLORY

Business Name

RYAN DAVID MALLORY MD

Original Issue Date

09/11/2023

Effective Date

09/11/2023

Expiration Date

07/31/2026

City

INDIANAPOLIS

State

Zip

46202

County

MARION

Ever Disciplined

LastModifiedDate

09/11/2023