ROBERT EDWIN BLAGG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011276

License Status

NOT RENEWED

Business

First Name

ROBERT EDWIN

Last Name

BLAGG

Business Name

ROBERT EDWIN BLAGG

Original Issue Date

08/11/1958

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

05/09/2022