ALEXANDRA MARIA BIALY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

MARIA

Last Name

BIALY

Suffix

DDS

Business Name

ALEXANDRA MARIA BIALY DDS

Original Issue Date

06/13/2002

Effective Date

06/13/2002

Expiration Date

09/30/2004

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005