JANICE P MALILAY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000263

License Status

NOT RENEWED

Business

First Name

JANICE

Middle

Last Name

MALILAY

Business Name

JANICE P MALILAY

Original Issue Date

06/30/1988

Effective Date

06/30/1988

Expiration Date

06/29/1990

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005