SHIRL HELMTS BENNING Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

SHIRL HELMTS

Last Name

BENNING

Business Name

SHIRL HELMTS BENNING

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

III V

Ever Disciplined

LastModifiedDate

10/17/2005