PHILLIP K MALLOW Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021183

License Status

ACTIVE

Business

First Name

PHILLIP K

Last Name

MALLOW

Business Name

PHILLIP K MALLOW

Original Issue Date

07/27/1988

Effective Date

08/06/2024

Expiration Date

09/30/2027

City

WHEATON

State

Zip

60189

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/06/2024