TIMOTHY N MALAVOLTI Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

TIMOTHY N

Last Name

MALAVOLTI

Business Name

TIMOTHY N MALAVOLTI

Original Issue Date

06/26/1984

Effective Date

06/26/1984

Expiration Date

01/31/1989

City

LOVINGTON

State

Zip

61937

County

MOULTRIE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006