LISA A BENNING Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078400

License Status

ACTIVE

Business

First Name

LISA A

Last Name

BENNING

Business Name

LISA A BENNING

Original Issue Date

02/03/1989

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/25/2023