STEPHEN M BLAIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014016

License Status

NOT RENEWED

Business

First Name

STEPHEN M

Last Name

BLAIN

Suffix

DDS

Business Name

STEPHEN M BLAIN DDS

Original Issue Date

07/08/1971

Effective Date

07/08/1971

Expiration Date

09/30/1984

City

LOS ANGELES

State

Zip

90034

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005