AILEEN SMITH BLUM - Dentist License in Illinois | # 020000138

AILEEN SMITH BLUM

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000138

License Status

NOT RENEWED

Business

N

First Name

AILEEN SMITH

Last Name

BLUM

Business Name

AILEEN SMITH BLUM

Original Issue Date

08/10/1951

Effective Date

07/19/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016