SAMUEL GREGORY BENANTI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015682

License Status

NOT RENEWED

Business

First Name

SAMUEL GREGORY

Last Name

BENANTI

Suffix

DMD

Business Name

SAMUEL GREGORY BENANTI DMD

Original Issue Date

09/20/1976

Effective Date

09/20/1976

Expiration Date

09/30/2000

City

LOUISVILLE

State

Zip

40219

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/17/2005