ROBERT E BLAU DDS - Dentist License in Illinois | # 018001427

ROBERT E BLAU DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001427

License Status

EXPIRED

Business

N

First Name

ROBERT

Middle

E

Last Name

BLAU

Suffix

DDS

Business Name

ROBERT E BLAU DDS

Original Issue Date

08/13/2003

Effective Date

08/13/2003

Expiration Date

06/30/2005

State

IL

Specialty/Qualifier

Endodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005