STEPHANIE ANN BENNINGTON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167028

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Middle

ANN

Last Name

BENNINGTON

Business Name

STEPHANIE ANN BENNINGTON DO

Original Issue Date

09/14/2023

Effective Date

09/14/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

08/15/2025