TIMOTHY ANDREW BENSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011298

License Status

NOT RENEWED

Business

First Name

TIMOTHY ANDREW

Last Name

BENSON

Suffix

DDS

Business Name

TIMOTHY ANDREW BENSON DDS

Original Issue Date

08/12/1958

Effective Date

08/12/1958

Expiration Date

09/30/1994

City

PORTAGE

State

Zip

53901

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005