BENJAMIN MAX STEIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

Title

DDS

First Name

BENJAMIN

Middle

MAX

Last Name

STEIN

Business Name

BENJAMIN MAX STEIN DDS

Original Issue Date

04/06/2017

Effective Date

08/14/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60654

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022