DAVID BLAUSTEIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001820

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

BLAUSTEIN

Business Name

DAVID BLAUSTEIN

Original Issue Date

12/05/1996

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

11/04/2009