REGINALD NELSON BLANKENSHIP DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012833

License Status

INACTIVE

Business

First Name

REGINALD NELSON

Last Name

BLANKENSHIP

Suffix

DDS

Business Name

REGINALD NELSON BLANKENSHIP DDS

Original Issue Date

11/23/1965

Effective Date

11/23/1965

Expiration Date

09/30/2000

City

GREENVILLE

State

Zip

62246

County

BOND

Ever Disciplined

LastModifiedDate

10/17/2005