Blake K Kitamura Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019028371

Status

Expired (Not Renewed)

First issued

June 23, 2010

Expired

September 30, 2015

License holder

Blake K Kitamura

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

07/13/2012

Other Illinois licenses under this name

• IL
  Blake K Kitamura Dds

  License 018001722 · Blake K Kitamura

  Temporary Dental Training License
  Expired

  Urbana, IL

  Expired Jul 1, 2010
• 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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