DAVID M BENTSEN - Medical Doctor License in Illinois | # 125035375

DAVID M BENTSEN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035375

License Status

EXPIRED

Business

N

First Name

DAVID

Middle

M

Last Name

BENTSEN

Business Name

DAVID M BENTSEN

Original Issue Date

07/13/1996

Effective Date

07/13/1996

Expiration Date

07/11/1999

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006