DAVID R BLAIR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

DAVID R

Last Name

BLAIR

Suffix

DDS

Business Name

DAVID R BLAIR DDS

Original Issue Date

10/01/1981

Effective Date

06/25/2018

Expiration Date

01/31/2022

City

SALEM

State

Zip

62881

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022