TIM B BELNAP DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000323

License Status

NOT RENEWED

Business

First Name

TIM B

Last Name

BELNAP

Suffix

DDS

Business Name

TIM B BELNAP DDS

Original Issue Date

04/18/1989

Effective Date

04/18/1989

Expiration Date

06/05/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005