RAHUL MALIK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

Title

DMD

First Name

RAHUL

Last Name

MALIK

Business Name

RAHUL MALIK DMD

Original Issue Date

12/03/2012

Effective Date

12/03/2012

Expiration Date

09/30/2015

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016