BENJAMIN JAMES BRUBAKER - Dentist License in Illinois | # 019026915

BENJAMIN JAMES BRUBAKER

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026915

License Status

ACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

08/02/2024