ROGER LEE BENSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

ROGER LEE

Last Name

BENSON

Suffix

Business Name

ROGER LEE BENSON MD

Original Issue Date

07/16/1993

Effective Date

07/16/1993

Expiration Date

07/31/1999

City

GALENA

State

Zip

61036

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011