STELLA M BLAKELY - Dentist License in Illinois | # 020004476

STELLA M BLAKELY

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004476

License Status

NOT RENEWED

Business

N

First Name

STELLA M

Last Name

BLAKELY

Business Name

STELLA M BLAKELY

Original Issue Date

06/25/1981

Effective Date

06/25/1981

Expiration Date

09/30/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005