BENJAMIN P TURNWALD DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

CANCELLED

Business

First Name

BENJAMIN

Middle

Last Name

TURNWALD

Suffix

DDS

Business Name

BENJAMIN P TURNWALD DDS

Original Issue Date

08/05/2009

Effective Date

08/05/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2009