BENJAMIN PATRICK LARRABEE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

PATRICK

Last Name

LARRABEE

Suffix

DDS

Business Name

BENJAMIN PATRICK LARRABEE DDS

Original Issue Date

08/11/2004

Effective Date

08/11/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006