CORINNE ELIZABETH BLASTICK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020018402

License Status

ACTIVE

Business

First Name

CORINNE

Middle

ELIZABETH

Last Name

BLASTICK

Business Name

CORINNE ELIZABETH BLASTICK

Original Issue Date

09/06/2024

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

GRIFFITH

State

Zip

46319

Ever Disciplined

LastModifiedDate

09/06/2024