JONATHAN DAVID BENSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

DAVID

Last Name

BENSON

Business Name

JONATHAN DAVID BENSON DO

Original Issue Date

10/16/2020

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023