COLIN ANDREW MALAKER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000569

License Status

INACTIVE

Business

First Name

COLIN

Middle

ANDREW

Last Name

MALAKER

Business Name

COLIN ANDREW MALAKER

Original Issue Date

09/30/2002

Effective Date

09/30/2002

Expiration Date

09/30/2004

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/17/2005