IRA M NIEDERMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010319

License Status

NOT RENEWED

Business

First Name

IRA M

Last Name

NIEDERMAN

Suffix

DDS

Business Name

IRA M NIEDERMAN DDS

Original Issue Date

08/05/1953

Effective Date

08/05/1953

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005