KELLY A MALINOSKI DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****43

License Status

CANCELLED

Business

Title

DPM

First Name

KELLY

Middle

Last Name

MALINOSKI

Business Name

KELLY A MALINOSKI DPM

Original Issue Date

07/29/2009

Effective Date

07/29/2009

Expiration Date

01/31/2011

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/03/2010