License holder summary

Blake, Scott M is a Dentistry licensed to practice in Wisconsin. This licensed professional license is not current. The license was granted 03/24/2000 and expired on 09/30/2003.

Wisconsin

Department of Safety and Professional Services

Blake, Scott M
Dentistry
License number
5212-15
Date granted
03/24/2000
Date expires
09/30/2003
Class
Dentistry
Status
Expired
wisconsinlicensing.org
ID 35575785
LAST UPDATED 2026-04-13 13:25:14 UTC

This website is unaffiliated with the Department of Safety and Professional Services. Please verify all information directly with the relevant official government authority.

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