BENJAMIN S FISS DDS - Dentist License in Illinois | # 019016402

BENJAMIN S FISS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016402

License Status

NOT RENEWED

Business

N

First Name

BENJAMIN S

Last Name

FISS

Suffix

DDS

Business Name

BENJAMIN S FISS DDS

Original Issue Date

07/07/1978

Effective Date

10/18/2021

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025