DAVID W BLANCHARD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030015

License Status

NOT RENEWED

Business

Title

DDS

First Name

DAVID

Middle

Last Name

BLANCHARD

Business Name

DAVID W BLANCHARD DDS

Original Issue Date

08/12/2014

Effective Date

08/12/2014

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016