CYNTHIA BLALOCK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033952

License Status

ACTIVE

Business

First Name

CYNTHIA

Last Name

BLALOCK

Business Name

CYNTHIA BLALOCK

Original Issue Date

09/02/2022

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

SAINT PETERS

State

Zip

63376

Ever Disciplined

LastModifiedDate

09/30/2024