DENISE DEANNE BLAZE - Dentist License in Iowa | # 020002939

DENISE DEANNE BLAZE

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002939

License Status

NOT RENEWED

Business

N

First Name

DENISE DEANNE

Last Name

BLAZE

Business Name

DENISE DEANNE BLAZE

Original Issue Date

07/13/1976

Effective Date

07/13/1976

Expiration Date

09/30/1994

State

IA

Ever Disciplined

N

LastModifiedDate

10/12/2005