MOLLY M MALOY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****48

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

Last Name

MALOY

Business Name

MOLLY M MALOY

Original Issue Date

12/14/2009

Effective Date

12/14/2009

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

12/04/2012