BRADY NOLAN BENHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102708

License Status

NOT RENEWED

Business

First Name

BRADY

Middle

NOLAN

Last Name

BENHAM

Suffix

Business Name

BRADY NOLAN BENHAM MD

Original Issue Date

06/14/2000

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/07/2018