BRIAN CHRISTOPHER BENTELE DO - Medical Doctor License in Illinois | # 125062658

BRIAN CHRISTOPHER BENTELE DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062658

License Status

EXPIRED

Business

N

Title

DO

First Name

BRIAN

Middle

CHRISTOPHER

Last Name

BENTELE

Business Name

BRIAN CHRISTOPHER BENTELE DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

State

IL

Specialty/Qualifier

Family Practice

Ever Disciplined

N

LastModifiedDate

08/16/2016