JEFF A BLEILE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

JEFF

Middle

Last Name

BLEILE

Suffix

DDS

Business Name

JEFF A BLEILE DDS

Original Issue Date

06/11/2004

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009