BAMINI BLAU DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000637

License Status

ACTIVE

Business

First Name

BAMINI

Last Name

BLAU

Suffix

DDS

Business Name

BAMINI BLAU DDS

Original Issue Date

12/23/2004

Effective Date

07/11/2024

Expiration Date

09/30/2027

City

BARTLETT

State

Zip

60103

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

07/11/2024