BLAKE ANTHONY FERANDO DMD - Dentist License in Illinois | # 019030670

BLAKE ANTHONY FERANDO DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030670

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

BLAKE

Middle

ANTHONY

Last Name

FERANDO

Business Name

BLAKE ANTHONY FERANDO DMD

Original Issue Date

06/07/2016

Effective Date

06/07/2016

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018