ROBERT E BLAU DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001427

License Status

EXPIRED

Business

First Name

ROBERT

Middle

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

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/12/2005