RICHARD WALTER BLASS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

RICHARD WALTER

Last Name

BLASS

Suffix

DDS

Business Name

RICHARD WALTER BLASS DDS

Original Issue Date

01/01/1998

Effective Date

08/07/2012

Expiration Date

09/30/2015

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016