PHILLIP K MALLOW
Licensed Dentist Controlled Substance
Illinois 319010409 Not Renewed
This Illinois license was held by PHILLIP K MALLOW. The license is no longer active. It was granted on 09/02/1988 and expired on 09/30/1990
LICENSE DETAILS
- License Number: 319010409
- Category: LICENSED DENTIST CONTROLLED SUBSTANCE
- Status: Not Renewed
- Date Granted: 09/02/1988 (over 36 years ago)
- Expiry Date: 09/30/1990 (over 34 years ago)
LOCATIONS
A Address
Lees Summit, MO 64063