T BLAINE WELLS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007522

License Status

NOT RENEWED

Business

First Name

T BLAINE

Last Name

WELLS

Business Name

T BLAINE WELLS

Original Issue Date

08/19/1991

Effective Date

08/19/1991

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005