ROBERT MARK BLAZEKOVICH

Licensed Dentist Controlled Substance

Illinois  319008492   Not Renewed

This Illinois license was held by ROBERT MARK BLAZEKOVICH. The license is no longer active. It was granted on 08/16/1984 and expired on 09/30/1996

LICENSE DETAILS

  • License Number: 319008492
  • Category: LICENSED DENTIST CONTROLLED SUBSTANCE
  • Status: Not Renewed
  • Date Granted: 08/16/1984 (over 40 years ago)
  • Expiry Date: 09/30/1996 (over 28 years ago)

LOCATIONS

A Address

MARION, IN 46952