BENTON HOLM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036019747

License Status

NOT RENEWED

Business

First Name

BENTON

Last Name

HOLM

Suffix

Business Name

BENTON HOLM MD

Original Issue Date

04/25/1933

Effective Date

04/25/1933

City

MOLINE

State

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/20/2006