SUSAN KATHERINE BLAIR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

Title

DDS

First Name

SUSAN

Middle

KATHERINE

Last Name

BLAIR

Business Name

SUSAN KATHERINE BLAIR DDS

Original Issue Date

07/11/2016

Effective Date

07/11/2016

Expiration Date

09/30/2018

City

SCHAUMBURG

State

Zip

60195

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/31/2018