ANTHONY BENJAMIN SIMS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

ANTHONY BENJAMIN

Last Name

SIMS

Business Name

ANTHONY BENJAMIN SIMS

Original Issue Date

08/07/1984

Effective Date

08/07/1984

Expiration Date

09/30/1986

City

PEORIA

State

Zip

61601

County

PEORIA

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/13/2005