SUSAN KATHERINE BLAIR DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

ACTIVE

Business

Title

DDS

First Name

SUSAN

Middle

KATHERINE

Last Name

BLAIR

Business Name

SUSAN KATHERINE BLAIR DDS

Original Issue Date

10/12/2021

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2024