SCOTT D BENJAMIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031952

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

BENJAMIN

Business Name

SCOTT D BENJAMIN

Original Issue Date

12/31/2018

Effective Date

12/31/2018

Expiration Date

01/31/2022

City

DOWNERS GROVE

State

Zip

60515

Ever Disciplined

LastModifiedDate

05/09/2022