JEFFREY RICHARD BLANKSHAIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017117

License Status

NOT RENEWED

Business

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

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025