GERALD A BIENEMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016713

License Status

NOT RENEWED

Business

First Name

GERALD A

Last Name

BIENEMAN

Suffix

DDS

Business Name

GERALD A BIENEMAN DDS

Original Issue Date

07/03/1979

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

GRANGER

State

Zip

46530

County

INDIANA

Ever Disciplined

LastModifiedDate

01/08/2010