REGINALD NELSON BLANKENSHIP DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

INOPERATIVE

Business

First Name

REGINALD NELSON

Last Name

BLANKENSHIP

Suffix

DDS

Business Name

REGINALD NELSON BLANKENSHIP DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

GREENVILLE

State

Zip

62246

County

BOND

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

10/17/2005