The holder whose full name is Blumenthal, Neil Mark,come from Homewood IL,hold the Dentist license(NO.12008867A) which status is Inactive/Expired.
| Name | Blumenthal, Neil Mark |
|---|---|
| License Number | 12008867A |
| License Type | Dentist |
| License Status | Inactive/Expired |
| City | Homewood |
| State | IL |