BIPLAB KUMAR MALO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000563

License Status

NOT RENEWED

Business

First Name

BIPLAB

Middle

KUMAR

Last Name

MALO

Business Name

BIPLAB KUMAR MALO

Original Issue Date

08/06/2002

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

11/04/2009