ALICE SUSAN BIENEMAN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001175

License Status

INACTIVE

Business

First Name

ALICE SUSAN

Last Name

BIENEMAN

Business Name

ALICE SUSAN BIENEMAN

Original Issue Date

07/14/1969

Effective Date

07/14/1969

Expiration Date

09/30/1992

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005