ROBIN BRENT BLAKKOLB DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001127

License Status

NOT RENEWED

Business

First Name

ROBIN BRENT

Last Name

BLAKKOLB

Suffix

DDS

Business Name

ROBIN BRENT BLAKKOLB DDS

Original Issue Date

07/16/1982

Effective Date

12/18/2021

Expiration Date

09/30/2024

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Specialty/Qualifier

ORAL AND MAXILLOFACIAL SURGERY

Ever Disciplined

LastModifiedDate

02/04/2025