DANNY BLAINE LEEDS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031435

License Status

ACTIVE

Business

Title

DDS

First Name

DANNY

Middle

BLAINE

Last Name

LEEDS

Business Name

DANNY BLAINE LEEDS DDS

Original Issue Date

10/19/2017

Effective Date

08/12/2024

Expiration Date

09/30/2027

City

CLARKSVILLE

State

Zip

72830

Ever Disciplined

LastModifiedDate

01/16/2025