LYDIA CAROLYN BLANKSCHAEN - Dentist License in Illinois | # 020012572

LYDIA CAROLYN BLANKSCHAEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012572

License Status

NOT RENEWED

Business

N

First Name

LYDIA

Middle

CAROLYN

Last Name

BLANKSCHAEN

Business Name

LYDIA CAROLYN BLANKSCHAEN

Original Issue Date

07/02/2008

Effective Date

09/11/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012