AARON JAMES BLAKELY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

ACTIVE

Business

First Name

AARON JAMES

Last Name

BLAKELY

Suffix

DMD

Business Name

AARON JAMES BLAKELY DMD

Original Issue Date

09/11/2000

Effective Date

09/28/2024

Expiration Date

09/30/2027

City

HAVANA

State

Zip

62644

County

MASON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/28/2024