AMANDA RAE MALOK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013989

License Status

ACTIVE

Business

First Name

AMANDA

Middle

RAE

Last Name

MALOK

Business Name

AMANDA RAE MALOK

Original Issue Date

07/11/2012

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/15/2024