VICTORIA E BLAKE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004839

License Status

INACTIVE

Business

First Name

VICTORIA E

Last Name

BLAKE

Business Name

VICTORIA E BLAKE

Original Issue Date

07/16/1982

Effective Date

07/16/1982

Expiration Date

09/30/2002

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005