NEAL ROBERT BENHAM DDS - Dentist License in Wisconsin | # 019013788

NEAL ROBERT BENHAM DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013788

License Status

INACTIVE

Business

N

First Name

NEAL ROBERT

Last Name

BENHAM

Suffix

DDS

Business Name

NEAL ROBERT BENHAM DDS

Original Issue Date

07/07/1970

Effective Date

07/07/1970

Expiration Date

09/30/1994

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005