BENJAMIN A BROOKS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

Last Name

BROOKS

Suffix

Business Name

BENJAMIN A BROOKS MD

Original Issue Date

06/11/2001

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023