BRENT J BENSCOTER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053418

License Status

EXPIRED

Business

First Name

BRENT

Middle

Last Name

BENSCOTER

Suffix

Business Name

BRENT J BENSCOTER MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

08/29/2012