SONIA M BENNETT-SELBERT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001024

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

VALPARAISO

State

Zip

46383

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

02/04/2025