SUSAN KATHERINE BLAIR DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002742

License Status

ACTIVE

Business

Title

DDS

First Name

SUSAN

Middle

KATHERINE

Last Name

BLAIR

Business Name

SUSAN KATHERINE BLAIR DDS

Original Issue Date

05/10/2016

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

LastModifiedDate

05/06/2024