RAYMOND BLAZYS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

RAYMOND

Last Name

BLAZYS

Suffix

DDS

Business Name

RAYMOND BLAZYS DDS

Original Issue Date

01/01/1998

Effective Date

09/28/2012

Expiration Date

09/30/2015

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016