LYNN CAROL BLACKBURN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002219

License Status

INACTIVE

Business

First Name

LYNN CAROL

Last Name

BLACKBURN

Business Name

LYNN CAROL BLACKBURN

Original Issue Date

07/03/1974

Effective Date

07/03/1974

Expiration Date

09/30/1990

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/12/2005