JAMES WILLIAM BLACKBURN DDS - Dentist License in Illinois | # 019025658

JAMES WILLIAM BLACKBURN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025658

License Status

NOT RENEWED

Business

N

First Name

JAMES

Middle

WILLIAM

Last Name

BLACKBURN

Suffix

DDS

Business Name

JAMES WILLIAM BLACKBURN DDS

Original Issue Date

09/07/2001

Effective Date

09/07/2001

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005