BENJAMIN MARSHALL MARINE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

ACTIVE

Business

Title

DMD

First Name

BENJAMIN

Middle

MARSHALL

Last Name

MARINE

Business Name

BENJAMIN MARSHALL MARINE DMD

Original Issue Date

07/30/2014

Effective Date

08/19/2024

Expiration Date

09/30/2027

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/26/2025