ELIZABETH P MALCOLM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007196

License Status

NOT RENEWED

Business

First Name

ELIZABETH P

Last Name

MALCOLM

Business Name

ELIZABETH P MALCOLM

Original Issue Date

07/20/1990

Effective Date

07/20/1990

Expiration Date

09/30/1994

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/12/2005