KIRK T BENNEWITZ DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

ACTIVE

Business

Title

DDS

First Name

KIRK

Middle

Last Name

BENNEWITZ

Business Name

KIRK T BENNEWITZ DDS

Original Issue Date

01/01/1998

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024