Dentist
LICENSED DENTIST
019007763
NOT RENEWED
N
BEN J
GALIAS
BEN J GALIAS
12/02/1938
12/02/1938
09/30/1998
WESTMONT
IL
60559
DUPAGE
Y
10/12/2005
1997002161
Fine
12/23/1997
Failure to complete continuing education requireents for the 1996 renewal period.