CHARLIE MALZENSKI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

ACTIVE

Business

Title

DMD

First Name

CHARLIE

Last Name

MALZENSKI

Business Name

CHARLIE MALZENSKI DMD

Original Issue Date

07/19/2022

Effective Date

09/22/2024

Expiration Date

09/30/2027

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/22/2024