TRINA M BLUNT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

TRINA

Middle

Last Name

BLUNT

Suffix

DDS

Business Name

TRINA M BLUNT DDS

Original Issue Date

12/02/2004

Effective Date

09/24/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018