Idaho
Division of Occupational and Professional Licenses
Dr. CRAIG T MALLAK
Board Of Medicine
License number
M-13469
Date granted
09/29/2016
Date expires
06/30/2018
Class
Board Of Medicine
Status
Licensed
Address
6848 LAKESIDE CIR S FORT LAUDERDALE FL 33314
idaholicensing.com
ID 48335331
LAST UPDATED 2024-01-30 14:53:55 UTC
LAST UPDATED 2024-01-30 14:53:55 UTC
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