BIPLAB KUMAR MALO Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

CANCELLED

Business

First Name

BIPLAB

Middle

KUMAR

Last Name

MALO

Business Name

BIPLAB KUMAR MALO

Original Issue Date

08/10/2001

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2009