BENITA DIEPERINK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036178712

License Status

ACTIVE

Business

Title

First Name

BENITA

Last Name

DIEPERINK

Business Name

BENITA DIEPERINK MD

Original Issue Date

01/29/2026

Effective Date

01/29/2026

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/29/2026