Shawna Fay Blazok
ActiveMichigan license 2903003321
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 2903003321
- Status
- Active
- First issued
- March 17, 2015
- Expires
- March 17, 2028
- License holder
- Shawna Fay Blazok
- Entity type
- Individual
Classifications
- Dental Assistant (Dentistry) Dental