BENJAMIN DANIEL RIEGLE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

DANIEL

Last Name

RIEGLE

Business Name

BENJAMIN DANIEL RIEGLE DO

Original Issue Date

05/21/2021

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023