Gene Joseph Blake Jr Dds
InactiveIllinois license 019015474
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019015474
- Status
- Inactive
- First issued
- July 13, 1976
- Expired
- September 30, 2012
- License holder
- Gene Joseph Blake Jr
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 08/14/2009
Other Illinois licenses under this name
-
IL
Gene Joseph Blake Jr DdsLicense 31*****18 · Gene Joseph Blake JrLicensed Dentist Controlled Substance (Dental)ExpiredSchaumburg, ILExpired Sep 30, 2009
Contact
Palatine, IL 60067
Cook County