DEBORAH ANNE BLAINE DDS - Dentist License in Illinois | # 019025382

DEBORAH ANNE BLAINE DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025382

License Status

INACTIVE

Business

N

First Name

DEBORAH

Middle

ANNE

Last Name

BLAINE

Suffix

DDS

Business Name

DEBORAH ANNE BLAINE DDS

Original Issue Date

08/24/2000

Effective Date

07/10/2018

Expiration Date

12/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2021