ROXANNE P BENISON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

First Name

ROXANNE

Middle

Last Name

BENISON

Suffix

DMD

Business Name

ROXANNE P BENISON DMD

Original Issue Date

10/18/2001

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/01/2024