JOHN WILLIAM BENGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053646

License Status

NOT RENEWED

Business

First Name

JOHN WILLIAM

Last Name

BENGE

Suffix

Business Name

JOHN WILLIAM BENGE MD

Original Issue Date

09/17/1976

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021