NEIL BLUMENTHAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

NEIL

Last Name

BLUMENTHAL

Suffix

DDS

Business Name

NEIL BLUMENTHAL DDS

Original Issue Date

10/18/1990

Effective Date

10/18/1990

Expiration Date

09/30/1992

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005