STAN JOSEPH BLAIR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011416

License Status

NOT RENEWED

Business

First Name

STAN JOSEPH

Last Name

BLAIR

Business Name

STAN JOSEPH BLAIR

Original Issue Date

01/07/1959

Effective Date

01/07/1959

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005