ALEXANDRA MARIA BIALY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001100

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005