HENRY A MALM DDS - Dentist License in California | # 019023378

HENRY A MALM DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023378

License Status

INACTIVE

Business

N

First Name

HENRY

Middle

A

Last Name

MALM

Suffix

DDS

Business Name

HENRY A MALM DDS

Original Issue Date

09/16/1993

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

CA

Ever Disciplined

N

LastModifiedDate

07/24/2006