ANTHONY F BENASSI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

First Name

ANTHONY F

Last Name

BENASSI

Suffix

DDS

Business Name

ANTHONY F BENASSI DDS

Original Issue Date

05/07/1993

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024