JEFFREY BLAINE ROBINSON DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

CANCELLED

Business

Title

DMD

First Name

JEFFREY

Middle

BLAINE

Last Name

ROBINSON

Business Name

JEFFREY BLAINE ROBINSON DMD

Original Issue Date

02/15/2025

Effective Date

02/15/2025

Expiration Date

09/30/2027

City

GLEN CARBON

State

Zip

62034

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025