CARYN BLAZOFSKY GROSS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005473

License Status

NOT RENEWED

Business

First Name

CARYN BLAZOFSKY

Last Name

GROSS

Business Name

CARYN BLAZOFSKY GROSS

Original Issue Date

05/10/1984

Effective Date

05/10/1984

Expiration Date

09/30/1988

City

GLENVIEW

State

Zip

60025

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005