BRYAN C BLEW DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

ACTIVE

Business

First Name

BRYAN

Middle

Last Name

BLEW

Suffix

DDS

Business Name

BRYAN C BLEW DDS

Original Issue Date

08/04/1998

Effective Date

09/20/2024

Expiration Date

09/30/2027

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/20/2024