BENJAMIN DAVID PARISH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015700

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

DAVID

Last Name

PARISH

Business Name

BENJAMIN DAVID PARISH

Original Issue Date

01/30/2017

Effective Date

01/30/2017

Expiration Date

09/30/2018

City

SAWYERVILLE

State

Zip

62085

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/31/2018