PAUL J BLAHA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

ACTIVE

Business

First Name

PAUL

Middle

Last Name

BLAHA

Suffix

DDS

Business Name

PAUL J BLAHA DDS

Original Issue Date

10/04/1995

Effective Date

08/09/2024

Expiration Date

09/30/2027

City

SYCAMORE

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/09/2024