PAUL STEVENS BLECHA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

STEVENS

Last Name

BLECHA

Suffix

DDS

Business Name

PAUL STEVENS BLECHA DDS

Original Issue Date

04/07/2006

Effective Date

12/21/2006

Expiration Date

09/30/2009

City

ANTIOCH

State

Zip

60002

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009