REGINALD NELSON BLANKENSHIP DDS - Dentist License in Illinois | # 019012833

REGINALD NELSON BLANKENSHIP DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012833

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005