DAVID WARREN BENTLEY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042261

License Status

INACTIVE

Business

First Name

DAVID WARREN

Last Name

BENTLEY

Suffix

Business Name

DAVID WARREN BENTLEY MD

Original Issue Date

12/20/1968

Effective Date

12/20/1968

Expiration Date

07/31/2005

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006