MARSHALL P MALLORY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114821

License Status

ACTIVE

Business

First Name

MARSHALL

Middle

Last Name

MALLORY

Suffix

Business Name

MARSHALL P MALLORY MD

Original Issue Date

10/31/2005

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

BEACHWOOD

State

Zip

44122

Ever Disciplined

LastModifiedDate

06/28/2023