LOUIS M BENEVENTO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

LOUIS M

Last Name

BENEVENTO

Suffix

Business Name

LOUIS M BENEVENTO MD

Original Issue Date

08/21/1992

Effective Date

08/21/1992

Expiration Date

07/31/1996

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006