JOSE MANUEL BLANCO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

JOSE MANUEL

Last Name

BLANCO

Business Name

JOSE MANUEL BLANCO

Original Issue Date

01/01/1998

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

AURORA

State

Zip

60504

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022