ADAM BLAKE LINK

Business Entity
ACTIVE

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****88

ACTIVE

N

ADAM

BLAKE

LINK

ADAM BLAKE LINK

10/16/2002

09/22/2024

09/30/2027

EFFINGHAM

IL

62401

EFFINGHAM

II III IV V

N

09/22/2024