BLAKE TYLER SAMPER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035829

License Status

ACTIVE

Business

Title

DDS

First Name

BLAKE

Middle

TYLER

Last Name

SAMPER

Business Name

BLAKE TYLER SAMPER DDS

Original Issue Date

03/09/2025

Effective Date

03/09/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2025