LORI R BLAZER - Dentist License in Illinois | # 020006967

LORI R BLAZER

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006967

License Status

NOT RENEWED

Business

N

First Name

LORI R

Last Name

BLAZER

Business Name

LORI R BLAZER

Original Issue Date

08/01/1989

Effective Date

08/12/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018