DEBORAH ANNE BLAINE DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025382

License Status

INACTIVE

Business

First Name

DEBORAH

Middle

ANNE

Last Name

BLAINE

Suffix

DDS

Business Name

DEBORAH ANNE BLAINE DDS

Original Issue Date

08/24/2000

Effective Date

07/10/2018

Expiration Date

12/31/2021

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2021