REGINA PAULINE BENSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000219

License Status

EXPIRED

Business

First Name

REGINA

Middle

PAULINE

Last Name

BENSON

Suffix

Business Name

REGINA PAULINE BENSON DO

Original Issue Date

10/01/2004

Effective Date

10/01/2004

Expiration Date

06/30/2005

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006