MICHAEL WILLIAM BENNETT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

WILLIAM

Last Name

BENNETT

Business Name

MICHAEL WILLIAM BENNETT

Original Issue Date

07/31/2013

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2024