Gerald Robert Blake Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****12

Status

Inactive (Cancelled)

First issued

January 1, 1998

Expired

September 30, 2006

License holder

Gerald Robert Blake Dds

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Controlled substance schedules

II III IV V

Other Illinois licenses under this name

• IL
  Gerald Robert Blake Dds

  License 019011459

  Licensed Dentist (Dental)
  Inactive

  Saint Charles, IL

  Expired Sep 30, 2006

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