BENJAMIN DAVID SCOTT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027234

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

DAVID

Last Name

SCOTT

Suffix

DDS

Business Name

BENJAMIN DAVID SCOTT DDS

Original Issue Date

10/16/2006

Effective Date

10/16/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2010