MARIJO BLANK - Dentist License in Illinois | # 020001849

MARIJO BLANK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001849

License Status

NOT RENEWED

Business

N

First Name

MARIJO

Last Name

BLANK

Business Name

MARIJO BLANK

Original Issue Date

07/12/1972

Effective Date

07/12/1972

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005