JEFFREY RICHARD BLANKSHAIN DDS - Dentist License in Illinois | # 019017117

JEFFREY RICHARD BLANKSHAIN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017117

License Status

NOT RENEWED

Business

N

First Name

JEFFREY RICHARD

Last Name

BLANKSHAIN

Suffix

DDS

Business Name

JEFFREY RICHARD BLANKSHAIN DDS

Original Issue Date

06/01/1980

Effective Date

10/13/2021

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025