ALICIA NICOLE BLAKLEY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028721

License Status

ACTIVE

Business

Title

DDS

First Name

ALICIA

Middle

NICOLE

Last Name

BLAKLEY

Business Name

ALICIA NICOLE BLAKLEY DDS

Original Issue Date

07/01/2011

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

WAUWATOSA

State

Zip

53226

Ever Disciplined

LastModifiedDate

09/25/2024