ANTHONY JUDE BENNETT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000007

License Status

NOT RENEWED

Business

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

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/31/2018