BENJAMIN DAVID LE MOINE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147348

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

DAVID

Last Name

LE MOINE

Business Name

BENJAMIN DAVID LE MOINE MD

Original Issue Date

08/28/2018

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/02/2023