SAMUEL GREGORY BENANTI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

SAMUEL GREGORY

Last Name

BENANTI

Suffix

DMD

Business Name

SAMUEL GREGORY BENANTI DMD

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

CAIRO

State

Zip

62916

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005