BROOKE DENISE BENSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

DENISE

Last Name

BENSON

Suffix

DDS

Business Name

BROOKE DENISE BENSON DDS

Original Issue Date

07/21/1999

Effective Date

05/15/2013

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

02/08/2016