DAVID JEFFREY BLACKMAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

ACTIVE

Business

Title

DDS

First Name

DAVID

Middle

JEFFREY

Last Name

BLACKMAN

Business Name

DAVID JEFFREY BLACKMAN DDS

Original Issue Date

09/24/1981

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024