DAVID BENNETT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

BENNETT

Business Name

DAVID BENNETT

Original Issue Date

04/11/2013

Effective Date

06/19/2018

Expiration Date

01/31/2022

City

JAMESPORT

State

Zip

64648

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022