ALEXANDRA MARIA BIALY DDS - Dentist License in Illinois | # 137000558

ALEXANDRA MARIA BIALY DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000558

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

06/21/2002

Effective Date

06/21/2002

Expiration Date

09/30/2004

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

10/17/2005