BAMINI BLAU DDS - Dentist License in Illinois | # 018001290

BAMINI BLAU DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001290

License Status

EXPIRED

Business

N

First Name

BAMINI

Last Name

BLAU

Suffix

DDS

Business Name

BAMINI BLAU DDS

Original Issue Date

07/09/2001

Effective Date

07/09/2001

Expiration Date

06/30/2003

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018