ORESTA BILOUS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

ORESTA

Last Name

BILOUS

Suffix

DMD

Business Name

ORESTA BILOUS DMD

Original Issue Date

07/29/1996

Effective Date

07/29/1996

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005