GUY BLAKEMAN EARLY DDS - Dentist License in Illinois | # 019016780

GUY BLAKEMAN EARLY DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016780

License Status

NOT RENEWED

Business

N

First Name

GUY BLAKEMAN

Last Name

EARLY

Suffix

DDS

Business Name

GUY BLAKEMAN EARLY DDS

Original Issue Date

07/10/1979

Effective Date

07/10/1979

Expiration Date

04/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005