DIRK A BENHAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038009059

License Status

NOT RENEWED

Business

First Name

DIRK

Middle

Last Name

BENHAM

Business Name

DIRK A BENHAM

Original Issue Date

05/09/2000

Effective Date

07/30/2008

Expiration Date

07/31/2011

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

11/10/2011