GENA L R BENOIT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105418

License Status

INACTIVE

Business

First Name

GENA L

Middle

Last Name

BENOIT

Suffix

Business Name

GENA L R BENOIT MD

Original Issue Date

08/15/2001

Effective Date

08/15/2001

Expiration Date

07/31/2005

City

DAVENPORT

State

Zip

52804

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006