KENNETH W BENTLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116942

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

BENTLEY

Suffix

Business Name

KENNETH W BENTLEY MD

Original Issue Date

09/15/2006

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

CREVE COEUR

State

Zip

63141

Ever Disciplined

LastModifiedDate

01/14/2021