NATHANIEL ELIOTT BEHRENTS DDS - Dentist License in Illinois | # 136000143

NATHANIEL ELIOTT BEHRENTS DDS

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000143

License Status

EXPIRED

Business

N

Title

DDS

First Name

NATHANIEL

Middle

ELIOTT

Last Name

BEHRENTS

Business Name

NATHANIEL ELIOTT BEHRENTS DDS

Original Issue Date

07/13/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

08/29/2012