BENNY S P KO MD - Medical Doctor License in Indiana | # 036063741

BENNY S P KO MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063741

License Status

INACTIVE

Business

N

First Name

BENNY S P

Last Name

KO

Suffix

MD

Business Name

BENNY S P KO MD

Original Issue Date

01/14/1982

Effective Date

01/14/1982

Expiration Date

07/31/1987

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006