STEPHEN MICHAEL BENJAMIN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026678

License Status

ACTIVE

Business

First Name

STEPHEN

Middle

MICHAEL

Last Name

BENJAMIN

Suffix

DMD

Business Name

STEPHEN MICHAEL BENJAMIN DMD

Original Issue Date

04/12/2005

Effective Date

08/02/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

08/02/2024