BENJAMIN L PALLA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031774

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

PALLA

Business Name

BENJAMIN L PALLA

Original Issue Date

07/02/2018

Effective Date

09/17/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60612

Ever Disciplined

LastModifiedDate

02/04/2025