MARIA A BLAZEK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006281

License Status

INACTIVE

Business

First Name

MARIA A

Last Name

BLAZEK

Business Name

MARIA A BLAZEK

Original Issue Date

10/01/1986

Effective Date

10/01/1986

Expiration Date

09/30/1992

City

KINGS PARK

State

Zip

11754

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/12/2005