BLAINE EARL MOWREY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000875

License Status

NOT RENEWED

Business

First Name

BLAINE EARL

Last Name

MOWREY

Suffix

DMD

Business Name

BLAINE EARL MOWREY DMD

Original Issue Date

08/02/1995

Effective Date

08/02/1995

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/12/2005