Blake K Kitamura Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****68

Status

Expired (Not Renewed)

First issued

June 23, 2010

Expired

September 30, 2015

License holder

Blake K Kitamura

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Controlled substance schedules

II III IV V

Current term began

01/22/2013

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 019028371 · Blake K Kitamura

  Licensed Dentist (Dental)
  Expired

  Champaign, IL

  Expired Sep 30, 2015

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