BENJAMIN FRANKLI INGALDSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

BENJAMIN FRANKLI

Last Name

INGALDSON

Suffix

DDS

Business Name

BENJAMIN FRANKLI INGALDSON DDS

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

09/30/2006

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006