JOHN GRISWOLD BENITEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

JOHN GRISWOLD

Last Name

BENITEZ

Suffix

Business Name

JOHN GRISWOLD BENITEZ MD

Original Issue Date

09/17/1982

Effective Date

09/17/1982

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006