BENJAMIN T RATHERT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058103

License Status

CANCELLED

Business

Title

First Name

BENJAMIN

Middle

Last Name

RATHERT

Business Name

BENJAMIN T RATHERT MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

DU QUOIN

State

Zip

62832

County

PERRY

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/18/2010