KEVIN KELLY BENSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065395

License Status

INACTIVE

Business

First Name

KEVIN KELLY

Last Name

BENSON

Suffix

Business Name

KEVIN KELLY BENSON MD

Original Issue Date

10/06/1982

Effective Date

10/06/1982

Expiration Date

07/31/1999

City

GLENDALE

State

Zip

85308

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006