STEPHANIE ANN BENNINGTON DO - Medical Doctor License in South Dakota | # 33*****44

STEPHANIE ANN BENNINGTON DO

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

N

Title

DO

First Name

STEPHANIE

Middle

ANN

Last Name

BENNINGTON

Business Name

STEPHANIE ANN BENNINGTON DO

Original Issue Date

09/27/2023

Effective Date

09/27/2023

Expiration Date

07/31/2026

State

SD

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

09/27/2023