BLAINE EARL MOWREY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024146

License Status

NOT RENEWED

Business

First Name

BLAINE EARL

Last Name

MOWREY

Suffix

DMD

Business Name

BLAINE EARL MOWREY DMD

Original Issue Date

05/02/1996

Effective Date

08/27/2012

Expiration Date

09/30/2015

City

FPO

State

Zip

09645

Ever Disciplined

LastModifiedDate

02/08/2016