TED C BLECKSTEIN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020649

License Status

INACTIVE

Business

First Name

TED C

Last Name

BLECKSTEIN

Suffix

DDS

Business Name

TED C BLECKSTEIN DDS

Original Issue Date

07/25/1987

Effective Date

07/25/1987

Expiration Date

09/30/1994

City

ABERDEEN

State

Zip

98520

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/12/2005