DAVID M BENTSEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035375

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

BENTSEN

Business Name

DAVID M BENTSEN

Original Issue Date

07/13/1996

Effective Date

07/13/1996

Expiration Date

07/11/1999

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006