ELENI BAZAKIDOU - Dentist License in Illinois | # 018000602

ELENI BAZAKIDOU

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000602

License Status

NOT RENEWED

Business

N

First Name

ELENI

Last Name

BAZAKIDOU

Business Name

ELENI BAZAKIDOU

Original Issue Date

03/25/1992

Effective Date

03/25/1992

Expiration Date

06/30/1994

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005