ELENI BAZAKIDOU Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000602

License Status

NOT RENEWED

Business

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

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005