Denise Deanne Blaze
ExpiredIllinois license 020002939
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020002939
- Status
- Expired (Not Renewed)
- First issued
- July 13, 1976
- Expired
- September 30, 1994
- License holder
- Denise Deanne Blaze
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 07/13/1976
Contact
Clinton, IA 52732
Iowa County