Jay Howard Blackburn Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019017021

Status

Expired (Not Renewed)

First issued

November 21, 1979

Expired

September 30, 1992

License holder

Jay Howard Blackburn Dds

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

11/21/1979

Other Illinois licenses under this name

• IL
  Jay Howard Blackburn Dds

  License 31*****69

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Calumet City, IL

  Expired Sep 30, 1992

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