BLAINE EARL MOWREY DMD - Dentist License in Illinois | # 018000875

BLAINE EARL MOWREY DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000875

License Status

NOT RENEWED

Business

N

First Name

BLAINE EARL

Last Name

MOWREY

Suffix

DMD

Business Name

BLAINE EARL MOWREY DMD

Original Issue Date

08/02/1995

Effective Date

08/02/1995

Expiration Date

06/30/1997

State

IL

Specialty/Qualifier

Endodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005