FARDINA MALIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126260

License Status

NOT RENEWED

Business

First Name

FARDINA

Last Name

MALIK

Suffix

Business Name

FARDINA MALIK MD

Original Issue Date

07/15/2010

Effective Date

07/01/2011

Expiration Date

07/31/2014

City

SAINT LOUIS

State

Zip

63117

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2014