ANTHONY F BENASSI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

ANTHONY F

Last Name

BENASSI

Suffix

DDS

Business Name

ANTHONY F BENASSI DDS

Original Issue Date

11/02/2015

Effective Date

11/02/2015

Expiration Date

09/30/2018

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018