PEDRO R BENITEZ 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

First Name

PEDRO R

Last Name

BENITEZ

Business Name

PEDRO R BENITEZ

Original Issue Date

06/13/1988

Effective Date

06/13/1988

Expiration Date

07/31/1990

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006