MARK J MALY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020834

License Status

NOT RENEWED

Business

First Name

MARK J

Last Name

MALY

Business Name

MARK J MALY

Original Issue Date

09/25/1987

Effective Date

09/11/2018

Expiration Date

01/31/2022

City

ORANGEVILLE

State

Zip

61060

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/09/2022