THOMAS PATRICK BENTON MD - Medical Doctor License in Illinois | # 036040143

THOMAS PATRICK BENTON MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040143

License Status

INACTIVE

Business

N

First Name

THOMAS PATRICK

Last Name

BENTON

Suffix

MD

Business Name

THOMAS PATRICK BENTON MD

Original Issue Date

11/22/1965

Effective Date

06/13/2011

Expiration Date

07/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014