CHERYL LEE MALMGREN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001843

License Status

NOT RENEWED

Business

First Name

CHERYL LEE

Last Name

MALMGREN

Business Name

CHERYL LEE MALMGREN

Original Issue Date

07/13/1972

Effective Date

08/13/2012

Expiration Date

09/30/2015

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/25/2016