MARK A BLUMENSCHEIN - Dentist License in Illinois | # 019020053

MARK A BLUMENSCHEIN

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020053

License Status

NOT RENEWED

Business

N

First Name

MARK A

Last Name

BLUMENSCHEIN

Business Name

MARK A BLUMENSCHEIN

Original Issue Date

05/16/1986

Effective Date

05/16/1986

Expiration Date

09/30/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005