NORMAN M MALY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

NORMAN M

Last Name

MALY

Suffix

DDS

Business Name

NORMAN M MALY DDS

Original Issue Date

11/18/1991

Effective Date

11/18/1991

Expiration Date

09/30/1992

City

LAGRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005