LEE LARUE BENNETT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010808

License Status

NOT RENEWED

Business

First Name

LEE LARUE

Last Name

BENNETT

Suffix

DDS

Business Name

LEE LARUE BENNETT DDS

Original Issue Date

10/24/1955

Effective Date

08/20/2012

Expiration Date

09/30/2015

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

02/08/2016