BENJAMIN EDWARD SCHAEFER Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001918

License Status

EXPIRED

Business

First Name

BENJAMIN

Middle

EDWARD

Last Name

SCHAEFER

Business Name

BENJAMIN EDWARD SCHAEFER

Original Issue Date

07/01/2014

Effective Date

07/01/2015

Expiration Date

06/30/2019

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/02/2019