BEN FRANCIS TARSITANO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

BEN FRANCIS

Last Name

TARSITANO

Suffix

DDS

Business Name

BEN FRANCIS TARSITANO DDS

Original Issue Date

03/26/1990

Effective Date

03/26/1990

Expiration Date

09/30/1992

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005