MALKA MABEL SHALHAV Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000048

License Status

NOT RENEWED

Business

First Name

MALKA MABEL

Last Name

SHALHAV

Business Name

MALKA MABEL SHALHAV

Original Issue Date

11/24/1997

Effective Date

11/24/1997

Expiration Date

11/20/2000

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/13/2005