JAMES WILLIAM BLACKBURN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025658

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005