BENNY S P KO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063741

License Status

INACTIVE

Business

First Name

BENNY S P

Last Name

Suffix

Business Name

BENNY S P KO MD

Original Issue Date

01/14/1982

Effective Date

01/14/1982

Expiration Date

07/31/1987

City

TERRE HAUTE

State

Zip

47803

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006