JEFFREY C BLANKENSHIP DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021951

License Status

NOT RENEWED

Business

First Name

JEFFREY C

Last Name

BLANKENSHIP

Suffix

DMD

Business Name

JEFFREY C BLANKENSHIP DMD

Original Issue Date

02/23/1990

Effective Date

02/23/1990

Expiration Date

09/30/1992

City

STONE MOUNTAIN

State

Zip

30083

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/12/2005