THEODORE V MALMBERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019005724

License Status

NOT RENEWED

Business

First Name

THEODORE V

Last Name

MALMBERG

Suffix

DDS

Business Name

THEODORE V MALMBERG DDS

Original Issue Date

08/12/1929

Effective Date

08/12/1929

Expiration Date

09/30/1986

City

BLUE ISLAND

State

Zip

60406

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005