GREGORY S BENSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000895

License Status

NOT RENEWED

Business

First Name

GREGORY S

Last Name

BENSON

Business Name

GREGORY S BENSON

Original Issue Date

07/29/2014

Effective Date

09/24/2015

Expiration Date

09/30/2018

City

MICHIGAN CITY

State

Zip

46360

County

INDIANA

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

10/31/2018