GEORGE BLECK Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

CANCELLED

Business

First Name

GEORGE

Last Name

BLECK

Business Name

GEORGE BLECK

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005