BRUCE CHISHOLM BENNETT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

BRUCE CHISHOLM

Last Name

BENNETT

Suffix

DDS

Business Name

BRUCE CHISHOLM BENNETT DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005