KAITLIN M BLAKE - Dentist License in Illinois | # 020016316

KAITLIN M BLAKE

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016316

License Status

NOT RENEWED

Business

N

First Name

KAITLIN

Middle

M

Last Name

BLAKE

Business Name

KAITLIN M BLAKE

Original Issue Date

08/22/2018

Effective Date

08/22/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022