DONALD LEE BENNETT - Dentist License in Illinois | # 137000548

DONALD LEE BENNETT

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000548

License Status

NOT RENEWED

Business

N

First Name

DONALD LEE

Last Name

BENNETT

Business Name

DONALD LEE BENNETT

Original Issue Date

02/27/2002

Effective Date

09/10/2015

Expiration Date

09/30/2018

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

10/31/2018