BETSY K VAN BENTHUYSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001076

License Status

NOT RENEWED

Business

First Name

BETSY

Middle

Last Name

VAN BENTHUYSEN

Business Name

BETSY K VAN BENTHUYSEN

Original Issue Date

09/03/1997

Effective Date

09/03/1997

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005