BENJAMIN J SCHLOTT MD DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

ACTIVE

Business

Title

MD DMD

First Name

BENJAMIN

Middle

Last Name

SCHLOTT

Business Name

BENJAMIN J SCHLOTT MD DMD

Original Issue Date

06/22/2004

Effective Date

05/10/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2024