BAMINI BLAU DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001290

License Status

EXPIRED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018