LISA E BLUMOFE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

BLUMOFE

Suffix

DDS

Business Name

LISA E BLUMOFE DDS

Original Issue Date

09/01/2009

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/06/2024