Irene Lynne Blake
InactiveIllinois license 020002538
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020002538
- Status
- Inactive
- First issued
- July 10, 1975
- Expired
- September 30, 1994
- License holder
- Irene Lynne Blake
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 07/10/1975
Contact
Belleville, IL 62223
Saint Clair County