CATHERINE TAN BENITEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

CATHERINE

Middle

TAN

Last Name

BENITEZ

Business Name

CATHERINE TAN BENITEZ

Original Issue Date

08/29/2006

Effective Date

08/29/2006

Expiration Date

07/31/2008

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008