ANNA BLANCHARD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

ANNA

Last Name

BLANCHARD

Suffix

DDS

Business Name

ANNA BLANCHARD DDS

Original Issue Date

08/06/2003

Effective Date

08/06/2003

Expiration Date

09/30/2004

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005