ROGER ZENAS BLISS DDS

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****08

NOT RENEWED

N

ROGER ZENAS

BLISS

DDS

ROGER ZENAS BLISS DDS

07/31/1981

07/31/1981

06/01/1982

CHICAGO

IL

60624

COOK

II III IV V

N

10/13/2005