EVA J BLODA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

First Name

EVA J

Last Name

BLODA

Suffix

DDS

Business Name

EVA J BLODA DDS

Original Issue Date

08/28/1990

Effective Date

08/08/2024

Expiration Date

09/30/2027

City

VENICE

State

Zip

34293

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/08/2024