CAROLYN RAE BENGTSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

CAROLYN RAE

Last Name

BENGTSON

Suffix

Business Name

CAROLYN RAE BENGTSON MD

Original Issue Date

04/22/1994

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60124

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023