Blake K Kitamura Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

018001722

Status

Expired

First issued

May 15, 2009

Expired

July 1, 2010

License holder

Blake K Kitamura

Entity type

Individual

Classifications

• Temporary Dental Training License Dental

More from the license record

Specialty

Oral and Maxillofacial Surgery

Current term began

07/01/2009

Other Illinois licenses under this name

• IL
  Blake K Kitamura Dds

  License 019028371 · Blake K Kitamura

  Licensed Dentist (Dental)
  Expired

  Champaign, IL

  Expired Sep 30, 2015
• IL
  Blake K Kitamura Dds

  License 31*****68 · Blake K Kitamura

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Champaign, IL

  Expired Sep 30, 2015

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