BEN BERNARD BLOCK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019007031

License Status

NOT RENEWED

Business

First Name

BEN BERNARD

Last Name

BLOCK

Suffix

DDS

Business Name

BEN BERNARD BLOCK DDS

Original Issue Date

08/01/1934

Effective Date

08/01/1934

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005