CARY MALCZEWSKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

NOT RENEWED

Business

First Name

CARY

Last Name

MALCZEWSKI

Business Name

CARY MALCZEWSKI

Original Issue Date

11/01/2011

Effective Date

02/28/2013

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

01/22/2015