CARY GLENN BLUMBERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

CARY

Middle

GLENN

Last Name

BLUMBERG

Suffix

DDS

Business Name

CARY GLENN BLUMBERG DDS

Original Issue Date

01/01/1998

Effective Date

03/19/2019

Expiration Date

01/31/2022

City

BENSENVILLE

State

Zip

60106

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022