SELIN BENJAMIN BOCIO RICHARDSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

Title

DMD

First Name

SELIN

Middle

BENJAMIN

Last Name

BOCIO RICHARDSON

Business Name

SELIN BENJAMIN BOCIO RICHARDSON DMD

Original Issue Date

01/19/2024

Effective Date

01/19/2024

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025