GERHARD MALCHAREK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

First Name

GERHARD

Last Name

MALCHAREK

Suffix

DDS

Business Name

GERHARD MALCHAREK DDS

Original Issue Date

10/01/2007

Effective Date

10/01/2007

Expiration Date

09/30/2009

City

INA

State

Zip

62946

County

SALINE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009