RANDALL GENE BENSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038911

License Status

NOT RENEWED

Business

First Name

RANDALL GENE

Last Name

BENSON

Suffix

Business Name

RANDALL GENE BENSON MD

Original Issue Date

02/06/1964

Effective Date

02/06/1964

Expiration Date

07/31/2005

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006