MARK A BLUMENSCHEIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020053

License Status

NOT RENEWED

Business

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

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005