JOHN FREDERICK BLATTNER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

ACTIVE

Business

Title

DMD

First Name

JOHN

Middle

FREDERICK

Last Name

BLATTNER

Business Name

JOHN FREDERICK BLATTNER DMD

Original Issue Date

01/01/1998

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

WATERLOO

State

Zip

62298

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024