BENJAMIN JAMES BRUBAKER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026915

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

JAMES

Last Name

BRUBAKER

Business Name

BENJAMIN JAMES BRUBAKER

Original Issue Date

09/20/2005

Effective Date

08/02/2024

Expiration Date

09/30/2027

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

08/02/2024