DAVID WARREN BENTLEY MD - Medical Doctor License in Indiana | # 036042261

DAVID WARREN BENTLEY MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042261

License Status

INACTIVE

Business

N

First Name

DAVID WARREN

Last Name

BENTLEY

Suffix

MD

Business Name

DAVID WARREN BENTLEY MD

Original Issue Date

12/20/1968

Effective Date

12/20/1968

Expiration Date

07/31/2005

State

IN

Ever Disciplined

N

LastModifiedDate

10/09/2006