DENISE DEANNE BLAZE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002939

License Status

NOT RENEWED

Business

First Name

DENISE DEANNE

Last Name

BLAZE

Business Name

DENISE DEANNE BLAZE

Original Issue Date

07/13/1976

Effective Date

07/13/1976

Expiration Date

09/30/1994

City

CLINTON

State

Zip

52732

County

IOWA

Ever Disciplined

LastModifiedDate

10/12/2005