MICHAEL BENZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000500

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Last Name

BENZ

Business Name

MICHAEL BENZ MD

Original Issue Date

05/01/2013

Effective Date

05/01/2013

Expiration Date

11/30/2013

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/13/2013