NATHANAEL DAVID BENASSI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029572

License Status

ACTIVE

Business

Title

DDS

First Name

NATHANAEL

Middle

DAVID

Last Name

BENASSI

Business Name

NATHANAEL DAVID BENASSI DDS

Original Issue Date

07/24/2013

Effective Date

09/20/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2024