JACQUELINE RAE BLASKO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026417

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

RAE

Last Name

BLASKO

Suffix

DMD

Business Name

JACQUELINE RAE BLASKO DMD

Original Issue Date

06/09/2004

Effective Date

06/12/2018

Expiration Date

01/31/2022

City

DENVER

State

Zip

80222

County

DEKALB

Ever Disciplined

LastModifiedDate

05/09/2022