NATHANIEL ELIOTT BEHRENTS DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000143

License Status

EXPIRED

Business

Title

DDS

First Name

NATHANIEL

Middle

ELIOTT

Last Name

BEHRENTS

Business Name

NATHANIEL ELIOTT BEHRENTS DDS

Original Issue Date

07/13/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

08/29/2012