JAYANTILAL THAKA MALLI DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016209

License Status

INACTIVE

Business

First Name

JAYANTILAL THAKA

Last Name

MALLI

Suffix

DDS

Business Name

JAYANTILAL THAKA MALLI DDS

Original Issue Date

01/19/1978

Effective Date

07/15/2015

Expiration Date

09/30/2018

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2015