License holder summary

Blalock, Brian C is a Dentist licensed to practice in Missouri. The address on file for Blalock, Brian C is Oral & Maxillofacial Surgery  92083. This licensed professional license is current. The license was granted 06/08/1987 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Blalock, Brian C
Dentist
License number
014702  
Date granted
06/08/1987
Date expires
11/30/2014
Class
Dentist
Status
Clear
Address
Oral & Maxillofacial Surgery 
licensingmissouri.org
ID 2015657
LAST UPDATED 2024-02-10 06:47:28 UTC

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