BAMINI BLAU DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

First Name

BAMINI

Last Name

BLAU

Suffix

DDS

Business Name

BAMINI BLAU DDS

Original Issue Date

08/06/2003

Effective Date

07/11/2024

Expiration Date

09/30/2027

City

BARTLETT

State

Zip

60103

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2024