PAUL J BLAHA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

Last Name

BLAHA

Suffix

DDS

Business Name

PAUL J BLAHA DDS

Original Issue Date

09/20/1995

Effective Date

09/20/1995

Expiration Date

09/30/1998

City

ST CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005