Phillip Mallow
ExpiredCalifornia license 102256
License
- Licensed by
- Dental Board of California
- License number
- 102256
- Status
- Expired (Delinquent)
- First issued
- January 19, 2018
- Expired
- July 31, 2026
- License holder
- Phillip Mallow
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1164 Leicester Ct
Wheaton, IL 60189-7709
Wheaton, IL 60189-7709
Du Page County