BROOKE DENISE BENSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

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

07/21/1999

Expiration Date

09/30/2006

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/08/2006