GAURAV MALIK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

Title

DDS

First Name

GAURAV

Last Name

MALIK

Business Name

GAURAV MALIK DDS

Original Issue Date

06/30/2017

Effective Date

07/09/2018

Expiration Date

01/31/2022

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022