SONIA M BENNETT-SELBERT 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

SONIA

Middle

Last Name

BENNETT-SELBERT

Business Name

SONIA M BENNETT-SELBERT

Original Issue Date

05/29/2019

Effective Date

10/02/2021

Expiration Date

09/30/2024

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025