SCOTT D BENJAMIN - Dentist License in Illinois | # 019031952

SCOTT D BENJAMIN

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031952

License Status

NOT RENEWED

Business

N

First Name

SCOTT

Middle

D

Last Name

BENJAMIN

Business Name

SCOTT D BENJAMIN

Original Issue Date

12/31/2018

Effective Date

12/31/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022