BENJAMIN ARTHUR BAPTIST DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

ACTIVE

Business

Title

DDS

First Name

BENJAMIN

Middle

ARTHUR

Last Name

BAPTIST

Business Name

BENJAMIN ARTHUR BAPTIST DDS

Original Issue Date

08/03/2009

Effective Date

05/12/2024

Expiration Date

09/30/2027

City

NORTH RIVERSIDE IL

State

Zip

60546

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2024