BENJAMIN CLARENCE HOEKSTRA DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

CANCELLED

Business

First Name

BENJAMIN

Middle

CLARENCE

Last Name

HOEKSTRA

Suffix

DDS

Business Name

BENJAMIN CLARENCE HOEKSTRA DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

LANSING

State

Zip

60438

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

07/24/2006