ANTHONY JUDE BENNETT - Dentist License in Illinois | # 137000007

ANTHONY JUDE BENNETT

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000007

License Status

NOT RENEWED

Business

N

First Name

ANTHONY JUDE

Last Name

BENNETT

Business Name

ANTHONY JUDE BENNETT

Original Issue Date

01/01/1998

Effective Date

08/17/2015

Expiration Date

09/30/2018

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

10/31/2018