ROBERT E BLAU DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

BLAU

Suffix

DDS

Business Name

ROBERT E BLAU DDS

Original Issue Date

12/10/2004

Effective Date

09/01/2009

Expiration Date

09/30/2012

City

VERNON HILLS

State

Zip

60061

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012