TAMI DIANNE BENTON MD - Medical Doctor License in Illinois | # 036088877

TAMI DIANNE BENTON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088877

License Status

NOT RENEWED

Business

N

First Name

TAMI DIANNE

Last Name

BENTON

Suffix

MD

Business Name

TAMI DIANNE BENTON MD

Original Issue Date

07/06/1994

Effective Date

07/06/1994

Expiration Date

07/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006