ROBERT BENJAMIN SCOTT DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

ACTIVE

Business

First Name

ROBERT

Middle

BENJAMIN

Last Name

SCOTT

Suffix

DMD

Business Name

ROBERT BENJAMIN SCOTT DMD

Original Issue Date

06/25/2003

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/03/2024