BENTLEY NNAMDI MICHAEL M.D. Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072957

License Status

EXPIRED

Business

Title

M.D.

First Name

BENTLEY

Middle

NNAMDI

Last Name

MICHAEL

Business Name

BENTLEY NNAMDI MICHAEL M.D.

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2022