License holder summary

Blake Brog is a Dentistry - Dentist licensed to practice in Massachusetts. The address on file for Blake Brog is United States, Cambridge 02138. This licensed professional license is not current. The license was granted 05/23/1983 and expired on 03/31/1984.

Massachusetts

Division of Professional Licensure

Blake Brog
Dentistry - Dentist
License number
DN15435
Date granted
05/23/1983
Date expires
03/31/1984
Class
Dentistry - Dentist
Status
Expired
Address
United States
licensingma.org
ID 38151153
LAST UPDATED 2024-03-11 08:19:08 UTC

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