BENJAMIN RANDALL BUKEY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070233

License Status

CANCELLED

Business

Title

First Name

BENJAMIN

Middle

RANDALL

Last Name

BUKEY

Business Name

BENJAMIN RANDALL BUKEY DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/09/2017