GEORGE H BLAKEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000196

License Status

NOT RENEWED

Business

First Name

GEORGE

Middle

Last Name

BLAKEY

Suffix

III

Business Name

GEORGE H BLAKEY

Original Issue Date

07/13/1987

Effective Date

07/13/1987

Expiration Date

07/10/1989

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005