DAVID BENNETT - Dentist License in Missouri | # 31*****79

DAVID BENNETT

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

N

First Name

DAVID

Last Name

BENNETT

Business Name

DAVID BENNETT

Original Issue Date

04/11/2013

Effective Date

06/19/2018

Expiration Date

01/31/2022

State

MO

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

05/09/2022