Jacqueline Rae Blasko Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019026417

Status

Expired (Not Renewed)

First issued

June 9, 2004

Expired

January 31, 2022

License holder

Jacqueline Rae Blasko Dmd

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

06/12/2018

Other Illinois licenses under this name

• IL
  Jacqueline Rae Blasko Dmd

  License 31*****39

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Denver, CO

  Expired Jan 31, 2022

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