PETER ALEXANDER BIDNY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

First Name

PETER

Middle

ALEXANDER

Last Name

BIDNY

Business Name

PETER ALEXANDER BIDNY

Original Issue Date

09/06/1988

Effective Date

05/13/2024

Expiration Date

09/30/2027

City

MORTON GROVE

State

Zip

60053

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2024