THOMAS GEORGE BLECK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

First Name

THOMAS GEORGE

Last Name

BLECK

Suffix

DDS

Business Name

THOMAS GEORGE BLECK DDS

Original Issue Date

01/01/1998

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

WAUKEGAN

State

Zip

60087

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022