LEE LARUE BENNETT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

LEE LARUE

Last Name

BENNETT

Suffix

DDS

Business Name

LEE LARUE BENNETT DDS

Original Issue Date

01/01/1998

Effective Date

08/20/2012

Expiration Date

09/30/2015

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

02/08/2016