License Verification

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FARA BENDER

License Number: DN15072

Data As Of 12/1/2022

Profession
Dentist
License
DN15072
License Status
CLEAR/ACTIVE
Qualifications
Pediatric Moderate Sedation
License Expiration Date
2/28/2024
License Original Issue Date
02/09/1999
Address of Record
6169 JOG ROAD,SUITE B5
LAKE WORTH, FL 33467
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Sedation Location
6169 JOG ROAD,SUITE B5
LAKE WORTH, FL 33467
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 12/1/2022



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.