License holder summary

BRYAN RICHARD BLAZER is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for BRYAN RICHARD BLAZER is EASTAMPTON NJ 08060. This licensed professional license is not current. The license was granted 06/21/2013 and expired on 03/31/2015.

Pennsylvania

Department of State

BRYAN RICHARD BLAZER
Dentistry - Anesthesia Permit - Restricted II
License number
DN001919
Date granted
06/21/2013
Date expires
03/31/2015
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Inactive
Address
EASTAMPTON NJ 08060
palicensing.org
ID 16538730
LAST UPDATED 2026-05-29 14:26:06 UTC

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