RANDALL GENE BENSON MD - Medical Doctor License in Illinois | # 036038911

RANDALL GENE BENSON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038911

License Status

NOT RENEWED

Business

N

First Name

RANDALL GENE

Last Name

BENSON

Suffix

MD

Business Name

RANDALL GENE BENSON MD

Original Issue Date

02/06/1964

Effective Date

02/06/1964

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006