Gerard Blaise Dds
ExpiredIllinois license 019014455
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019014455
- Status
- Expired (Not Renewed)
- First issued
- December 13, 1972
- Expired
- September 30, 2015
- License holder
- Gerard Blaise Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 09/26/2012
Other Illinois licenses under this name
-
IL
ExpiredEast Saint Louis, ILExpired Sep 30, 2015
Contact
East Saint Louis, IL 62205
Saint Clair County