STEPHEN MICHAEL BENJAMIN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

First Name

STEPHEN

Middle

MICHAEL

Last Name

BENJAMIN

Suffix

DMD

Business Name

STEPHEN MICHAEL BENJAMIN DMD

Original Issue Date

07/21/2005

Effective Date

08/02/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/02/2024