ILENE JETTA GREENBLATT DDS - Dentist License in Illinois | # 019017909

ILENE JETTA GREENBLATT DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017909

License Status

NOT RENEWED

Business

N

First Name

ILENE JETTA

Last Name

GREENBLATT

Suffix

DDS

Business Name

ILENE JETTA GREENBLATT DDS

Original Issue Date

09/25/1981

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2006