Blake Shaffou
ActiveMichigan license 2901602609
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 2901602609
- Status
- Active
- First issued
- June 12, 2025
- Expires
- June 12, 2028
- License holder
- Blake Shaffou
- Entity type
- Individual
Classifications
- Dentist (Dentistry) Dental