NICK MAMALIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066865

License Status

INACTIVE

Business

First Name

NICK

Last Name

MAMALIS

Suffix

Business Name

NICK MAMALIS MD

Original Issue Date

06/30/1983

Effective Date

06/30/1983

Expiration Date

07/31/1987

City

SALT LAKE CITY

State

Zip

84132

County

UTAH

Ever Disciplined

LastModifiedDate

09/20/2006