JACK S BLOCK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008229

License Status

NOT RENEWED

Business

First Name

JACK S

Last Name

BLOCK

Business Name

JACK S BLOCK

Original Issue Date

11/15/1941

Effective Date

11/15/1941

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005