ANTHONY JUDE BENNETT Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

CANCELLED

Business

First Name

ANTHONY JUDE

Last Name

BENNETT

Business Name

ANTHONY JUDE BENNETT

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

HOFFMAN ESTATES

State

Zip

60194

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005