BENJAMIN BENTLEY FAITELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098032

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

BENTLEY

Last Name

FAITELSON

Suffix

Business Name

BENJAMIN BENTLEY FAITELSON MD

Original Issue Date

06/15/1998

Effective Date

06/15/1998

Expiration Date

07/31/2002

City

SAINT LOUIS

State

Zip

63130

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006