License holder summary

KEITH DAVID MALCHODI is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for KEITH DAVID MALCHODI is Ashburn VA 20147. This licensed professional license is not current. The license was granted 02/13/1989 and expired on 03/31/2007.

Pennsylvania

Department of State

KEITH DAVID MALCHODI
Dentistry - Anesthesia Permit - Restricted II
License number
DN021034A
Date granted
02/13/1989
Date expires
03/31/2007
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Inactive
Address
Ashburn VA 20147
palicensing.org
ID 16535855
LAST UPDATED 2026-06-01 04:12:11 UTC

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