HAROLD CHARLES BLOHM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019005078

License Status

NOT RENEWED

Business

First Name

HAROLD CHARLES

Last Name

BLOHM

Suffix

DDS

Business Name

HAROLD CHARLES BLOHM DDS

Original Issue Date

07/30/1927

Effective Date

07/30/1927

Expiration Date

09/30/1986

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005