BENJAMIN SHEARD BER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025882

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

SHEARD

Last Name

BER

Business Name

BENJAMIN SHEARD BER

Original Issue Date

06/17/2002

Effective Date

06/17/2002

Expiration Date

09/30/2004

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005