HENRY A MALM DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023378

License Status

INACTIVE

Business

First Name

HENRY

Middle

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

City

PALM DESERT

State

Zip

92260

Ever Disciplined

LastModifiedDate

07/24/2006