AMBER LEE BENNINGTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

AMBER

Middle

LEE

Last Name

BENNINGTON

Business Name

AMBER LEE BENNINGTON MD

Original Issue Date

09/04/2025

Effective Date

09/04/2025

Expiration Date

07/31/2026

City

MORTON

State

Zip

61550

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2025