License holder summary

IMTIAZ AHMAD MALLICK is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for IMTIAZ AHMAD MALLICK is FISHKILL NY 12524. This medical practitioner license is not current. The license was granted 08/30/1994 and expired on 12/31/2002.

Department of State

Board of Medicine

IMTIAZ AHMAD MALLICK
Medical Physician And Surgeon
License number
MD052770L
Date granted
08/30/1994
Date expires
12/31/2002
Class
Medical Physician And Surgeon
Status
Expired
Address
FISHKILL NY 12524
medicinepa.com
ID 37646421
LAST UPDATED 2024-03-30 23:06:10 UTC

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