BENJAMIN PATRICK LARRABEE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002095

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

11/08/2006