MICHAEL K BENSON DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****97

NOT RENEWED

N

MICHAEL

K

BENSON

DO

MICHAEL K BENSON DO

07/20/1998

08/13/2020

07/31/2023

MATTOON

IL

61938

COLES

II III IV V

N

11/30/2023