BENJAMIN K ALPEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

Title

DDS

First Name

BENJAMIN

Middle

Last Name

ALPEN

Business Name

BENJAMIN K ALPEN DDS

Original Issue Date

10/03/2019

Effective Date

10/03/2019

Expiration Date

01/31/2022

City

DAVENPORT

State

Zip

52807

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022