ALEXANDRA MARIA BIALY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000558

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

MARIA

Last Name

BIALY

Suffix

DDS

Business Name

ALEXANDRA MARIA BIALY DDS

Original Issue Date

06/21/2002

Effective Date

06/21/2002

Expiration Date

09/30/2004

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/17/2005