BENJAMIN HEATH DURHAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000429

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

HEATH

Last Name

DURHAM

Business Name

BENJAMIN HEATH DURHAM MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

12/31/2011

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

01/18/2012