STELLA M BLAKELY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004476

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005