BERTEL THOR MALMBERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009007

License Status

NOT RENEWED

Business

First Name

BERTEL THOR

Last Name

MALMBERG

Suffix

DDS

Business Name

BERTEL THOR MALMBERG DDS

Original Issue Date

06/03/1946

Effective Date

06/03/1946

City

LA JOLLA

State

Zip

92037

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005