ROBIN BRENT BLAKKOLB DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015580

License Status

NOT RENEWED

Business

First Name

ROBIN BRENT

Last Name

BLAKKOLB

Suffix

DDS

Business Name

ROBIN BRENT BLAKKOLB DDS

Original Issue Date

07/13/1976

Effective Date

12/18/2021

Expiration Date

09/30/2024

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/04/2025