FARDINA MALIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

FARDINA

Last Name

MALIK

Suffix

Business Name

FARDINA MALIK MD

Original Issue Date

08/25/2010

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

SAINT LOUIS

State

Zip

63117

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014