BENIAMIN BOGDAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

Title

DMD

First Name

BENIAMIN

Last Name

BOGDAN

Business Name

BENIAMIN BOGDAN DMD

Original Issue Date

11/07/2012

Effective Date

11/07/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016