COLIN ANDREW MALAKER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

COLIN

Middle

ANDREW

Last Name

MALAKER

Business Name

COLIN ANDREW MALAKER

Original Issue Date

06/25/2002

Effective Date

06/25/2002

Expiration Date

09/30/2004

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005