BENJAMIN G COOMBS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146705

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

Last Name

COOMBS

Business Name

BENJAMIN G COOMBS DO

Original Issue Date

07/02/2018

Effective Date

07/02/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021