MARISA BLICKHAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035173

License Status

ACTIVE

Business

Title

DMD

First Name

MARISA

Last Name

BLICKHAN

Business Name

MARISA BLICKHAN DMD

Original Issue Date

06/06/2024

Effective Date

06/06/2024

Expiration Date

09/30/2027

City

SAINT LOUIS

State

Zip

63101

Ever Disciplined

LastModifiedDate

05/17/2024