BLAKE THOMAS WESTRA - Dentist License in Illinois | # 019028066

BLAKE THOMAS WESTRA

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028066

License Status

ACTIVE

Business

N

First Name

BLAKE

Middle

THOMAS

Last Name

WESTRA

Business Name

BLAKE THOMAS WESTRA

Original Issue Date

07/02/2009

Effective Date

10/01/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

10/16/2024