JACQUELINE RAE BLASKO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

RAE

Last Name

BLASKO

Suffix

DMD

Business Name

JACQUELINE RAE BLASKO DMD

Original Issue Date

12/06/2016

Effective Date

09/10/2018

Expiration Date

01/31/2022

City

DENVER

State

Zip

80222

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022