JONATHAN DAVID BENSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

Title

First Name

JONATHAN

Middle

DAVID

Last Name

BENSON

Business Name

JONATHAN DAVID BENSON DO

Original Issue Date

08/10/2012

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021