KATHY G BLANCETT Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006580

License Status

INACTIVE

Business

First Name

KATHY G

Last Name

BLANCETT

Business Name

KATHY G BLANCETT

Original Issue Date

11/26/1987

Effective Date

11/26/1987

Expiration Date

09/30/2004

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005