RAFIK BENAISSA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

Title

First Name

RAFIK

Last Name

BENAISSA

Business Name

RAFIK BENAISSA MD

Original Issue Date

03/16/2016

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

MINOT

State

Zip

58703

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2023