HOLLY A BENSON MD - Medical Doctor License in Wisconsin | # 036107608

HOLLY A BENSON MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107608

License Status

INACTIVE

Business

N

First Name

HOLLY

Middle

A

Last Name

BENSON

Suffix

MD

Business Name

HOLLY A BENSON MD

Original Issue Date

08/05/2002

Effective Date

08/05/2008

Expiration Date

07/31/2011

State

WI

Ever Disciplined

N

LastModifiedDate

04/07/2011