HOWARD LOUIS BLIVAISS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017905

License Status

ACTIVE

Business

First Name

HOWARD LOUIS

Last Name

BLIVAISS

Suffix

DDS

Business Name

HOWARD LOUIS BLIVAISS DDS

Original Issue Date

09/25/1981

Effective Date

06/17/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

06/17/2024