Lori R Blazer
ExpiredIllinois license 020006967
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020006967
- Status
- Expired (Not Renewed)
- First issued
- August 1, 1989
- Expired
- September 30, 2018
- License holder
- Lori R Blazer
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 08/12/2015
Contact
Libertyville, IL 60048
Lake County