ALEXANDRA MARIA BIALY DDS - Dentist License in Illinois | # 018001100

ALEXANDRA MARIA BIALY DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001100

License Status

NOT RENEWED

Business

N

First Name

ALEXANDRA

Middle

MARIA

Last Name

BIALY

Suffix

DDS

Business Name

ALEXANDRA MARIA BIALY DDS

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2002

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/12/2005