IRWIN MELVIN MALITZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

First Name

IRWIN MELVIN

Last Name

MALITZ

Suffix

DDS

Business Name

IRWIN MELVIN MALITZ DDS

Original Issue Date

01/01/1998

Effective Date

09/22/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/14/2012