NATHAN DANIEL BENNINGTON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159307

License Status

ACTIVE

Business

Title

First Name

NATHAN

Middle

DANIEL

Last Name

BENNINGTON

Business Name

NATHAN DANIEL BENNINGTON DO

Original Issue Date

01/28/2022

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

MINFORD

State

Zip

45653

Ever Disciplined

LastModifiedDate

07/19/2023