License holder summary

Blacker, Mitchell I is a Dentist licensed to practice in Missouri. The address on file for Blacker, Mitchell I is 11208 Quincy Avenue , Kansas City 64137. This licensed professional license is current. The license was granted 06/03/1983 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Blacker, Mitchell I
Dentist
License number
013939  
Date granted
06/03/1983
Date expires
11/30/2014
Class
Dentist
Status
Clear
Address
11208 Quincy Avenue 
licensingmissouri.org
ID 2015624
LAST UPDATED 2024-04-05 16:47:05 UTC

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