PHILLIP KENNETH MALY Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006932

License Status

NOT RENEWED

Business

First Name

PHILLIP KENNETH

Last Name

MALY

Business Name

PHILLIP KENNETH MALY

Original Issue Date

02/22/1977

Expiration Date

05/01/1982

City

MARSHFIELD

State

Zip

54449

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005