JOHN GRISWOLD BENITEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065205

License Status

NOT RENEWED

Business

First Name

JOHN GRISWOLD

Last Name

BENITEZ

Suffix

Business Name

JOHN GRISWOLD BENITEZ MD

Original Issue Date

08/20/1982

Effective Date

08/20/1982

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006