BENJAMIN TRUONG DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002131

License Status

EXPIRED

Business

Title

DMD

First Name

BENJAMIN

Last Name

TRUONG

Business Name

BENJAMIN TRUONG DMD

Original Issue Date

02/04/2020

Effective Date

02/04/2020

Expiration Date

06/30/2020

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

11/19/2020