MARILYN JEAN MALIK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000053

License Status

NOT RENEWED

Business

First Name

MARILYN JEAN

Last Name

MALIK

Business Name

MARILYN JEAN MALIK

Original Issue Date

11/05/1978

Effective Date

11/05/1978

Expiration Date

11/05/1984

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

09/26/2006