THOMAS EARL BENSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

THOMAS EARL

Last Name

BENSON

Suffix

Business Name

THOMAS EARL BENSON MD

Original Issue Date

08/17/1990

Effective Date

08/17/1990

Expiration Date

07/31/1999

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011