License Directory

Bruce Douglas Mallatt Md

Expired

Illinois license 036057517

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036057517
Status
Expired (Not Renewed)
First issued
August 21, 1978
License holder
Bruce Douglas Mallatt Md
Entity type
Individual

Classifications

More from the license record

Current term began
08/21/1978

Other Illinois licenses under this name

  • IL
    Bruce Douglas Mallatt Md
    License 33*****96
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Silvis, IL
    Expired Jan 1, 1997

Contact

Crown Point, IN 46943
Indiana County