THOMAS R BIENEMAN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022369

License Status

INACTIVE

Business

First Name

THOMAS R

Last Name

BIENEMAN

Suffix

DDS

Business Name

THOMAS R BIENEMAN DDS

Original Issue Date

02/01/1991

Effective Date

02/01/1991

Expiration Date

09/30/1992

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005