NORMAN L BLANKENSHIP Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

NORMAN L

Last Name

BLANKENSHIP

Business Name

NORMAN L BLANKENSHIP

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005