LAWRENCE FREDERI BENNETT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013500

License Status

NOT RENEWED

Business

First Name

LAWRENCE FREDERI

Last Name

BENNETT

Suffix

DDS

Business Name

LAWRENCE FREDERI BENNETT DDS

Original Issue Date

12/19/1968

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2010