RANDALL GENE BENSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

RANDALL GENE

Last Name

BENSON

Suffix

Business Name

RANDALL GENE BENSON MD

Original Issue Date

10/06/1993

Effective Date

10/06/1993

Expiration Date

07/31/2005

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006