ABIGAIL MARIE BENNETT DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

ACTIVE

Business

Title

DMD

First Name

ABIGAIL

Middle

MARIE

Last Name

BENNETT

Business Name

ABIGAIL MARIE BENNETT DMD

Original Issue Date

06/06/2024

Effective Date

06/06/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2024