HOWARD LOUIS BLIVAISS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

ACTIVE

Business

First Name

HOWARD LOUIS

Last Name

BLIVAISS

Suffix

DDS

Business Name

HOWARD LOUIS BLIVAISS DDS

Original Issue Date

10/21/1981

Effective Date

07/15/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2024