BENJAMIN SHEARD BER - Dentist License in Illinois | # 019025882

BENJAMIN SHEARD BER

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025882

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005