ILENE JETTA GREENBLATT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017909

License Status

NOT RENEWED

Business

First Name

ILENE JETTA

Last Name

GREENBLATT

Suffix

DDS

Business Name

ILENE JETTA GREENBLATT DDS

Original Issue Date

09/25/1981

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006