GERALD A BIENEMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

GERALD A

Last Name

BIENEMAN

Suffix

DDS

Business Name

GERALD A BIENEMAN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005