LOUIS M BENEVENTO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084674

License Status

NOT RENEWED

Business

First Name

LOUIS M

Last Name

BENEVENTO

Suffix

Business Name

LOUIS M BENEVENTO MD

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

07/31/1996

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

09/20/2006