WAYNE STEPHEN BELLEN D D S Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014256

License Status

NOT RENEWED

Business

First Name

WAYNE STEPHEN

Last Name

BELLEN D D S

Business Name

WAYNE STEPHEN BELLEN D D S

Original Issue Date

07/12/1972

Effective Date

10/02/2018

Expiration Date

01/31/2022

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022