ROBERT EDWIN BLAGG - Dentist License in Illinois | # 019011276

ROBERT EDWIN BLAGG

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011276

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022