BENJAMIN T HOWARD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

Title

DDS

First Name

BENJAMIN

Middle

Last Name

HOWARD

Business Name

BENJAMIN T HOWARD DDS

Original Issue Date

07/25/2012

Effective Date

07/25/2012

Expiration Date

09/30/2015

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016