TIMOTHY N MALAVOLTI Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003682

License Status

INACTIVE

Business

First Name

TIMOTHY N

Last Name

MALAVOLTI

Business Name

TIMOTHY N MALAVOLTI

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

01/31/1989

City

LOVINGTON

State

Zip

61937

County

MOULTRIE

Ever Disciplined

LastModifiedDate

09/25/2006