RALPH STEVEN BENEJAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

RALPH STEVEN

Last Name

BENEJAM

Suffix

Business Name

RALPH STEVEN BENEJAM MD

Original Issue Date

05/13/1986

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023