BENJAMIN EDWARD SCHAEFER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

EDWARD

Last Name

SCHAEFER

Business Name

BENJAMIN EDWARD SCHAEFER

Original Issue Date

01/27/2020

Effective Date

06/13/2024

Expiration Date

09/30/2027

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2024