MINA MECHEAL BENJAMIN MEHANNI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

MINA

Middle

MECHEAL BENJAMIN

Last Name

MEHANNI

Business Name

MINA MECHEAL BENJAMIN MEHANNI MD

Original Issue Date

10/10/2023

Effective Date

10/10/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/10/2023