THOMAS BLAISE WEIGAND DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015012

License Status

INACTIVE

Business

First Name

THOMAS BLAISE

Last Name

WEIGAND

Suffix

DDS

Business Name

THOMAS BLAISE WEIGAND DDS

Original Issue Date

07/17/1974

Effective Date

07/17/1974

Expiration Date

09/30/1996

City

BURR RIDGE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005