BENJAMIN PATRICK LARRABEE DDS - Dentist License in Illinois | # 021002095

BENJAMIN PATRICK LARRABEE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002095

License Status

NOT RENEWED

Business

N

First Name

BENJAMIN

Middle

PATRICK

Last Name

LARRABEE

Suffix

DDS

Business Name

BENJAMIN PATRICK LARRABEE DDS

Original Issue Date

08/05/2004

Effective Date

08/05/2004

Expiration Date

09/30/2006

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

11/08/2006