ANGELA BENAVIDES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074277

License Status

ACTIVE

Business

First Name

ANGELA

Last Name

BENAVIDES

Suffix

Business Name

ANGELA BENAVIDES MD

Original Issue Date

12/22/1986

Effective Date

08/22/2023

Expiration Date

07/31/2026

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

08/22/2023