BENJAMIN BENTLEY FAITELSON MD - Medical Doctor License in Missouri | # 036098032

BENJAMIN BENTLEY FAITELSON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098032

License Status

NOT RENEWED

Business

N

First Name

BENJAMIN

Middle

BENTLEY

Last Name

FAITELSON

Suffix

MD

Business Name

BENJAMIN BENTLEY FAITELSON MD

Original Issue Date

06/15/1998

Effective Date

06/15/1998

Expiration Date

07/31/2002

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006