BENJAMIN DAVID SCOTT DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001592

License Status

EXPIRED

Business

First Name

BENJAMIN

Middle

DAVID

Last Name

SCOTT

Suffix

DDS

Business Name

BENJAMIN DAVID SCOTT DDS

Original Issue Date

06/23/2006

Effective Date

06/23/2006

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

07/31/2008