DONALD LEE BENNETT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000548

License Status

NOT RENEWED

Business

First Name

DONALD LEE

Last Name

BENNETT

Business Name

DONALD LEE BENNETT

Original Issue Date

02/27/2002

Effective Date

09/10/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/31/2018