NANCY KAY BLACKBURN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000430

License Status

NOT RENEWED

Business

First Name

NANCY KAY

Last Name

BLACKBURN

Business Name

NANCY KAY BLACKBURN

Original Issue Date

07/29/1959

Effective Date

07/29/1959

Expiration Date

09/30/1986

City

GREENWOOD

State

Zip

46142

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005