ROBERT LEONARD BENNETT DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

ROBERT LEONARD

Last Name

BENNETT

Suffix

DMD

Business Name

ROBERT LEONARD BENNETT DMD

Original Issue Date

01/01/1998

Effective Date

07/19/2018

Expiration Date

01/31/2022

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022