MICHAEL J BENTLEY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

BENTLEY

Suffix

DDS

Business Name

MICHAEL J BENTLEY DDS

Original Issue Date

01/01/1998

Effective Date

06/18/2024

Expiration Date

09/30/2027

City

CREVE COEUR

State

Zip

61610

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/18/2024