BENJAMIN MAX STEIN DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002001

License Status

EXPIRED

Business

Title

DDS

First Name

BENJAMIN

Middle

MAX

Last Name

STEIN

Business Name

BENJAMIN MAX STEIN DDS

Original Issue Date

06/24/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

09/19/2017