BRYAN C BLEW DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

Last Name

BLEW

Suffix

DDS

Business Name

BRYAN C BLEW DDS

Original Issue Date

11/12/2021

Effective Date

11/12/2021

Expiration Date

09/30/2024

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025