SHAWN P MALLADY OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****57

License Status

ACTIVE

Business

First Name

SHAWN P

Last Name

MALLADY

Suffix

Business Name

SHAWN P MALLADY OD

Original Issue Date

05/07/1996

Effective Date

03/20/2026

Expiration Date

03/31/2028

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2026