CHARLES P BENEDICT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076296

License Status

INACTIVE

Business

First Name

CHARLES P

Last Name

BENEDICT

Suffix

Business Name

CHARLES P BENEDICT MD

Original Issue Date

11/04/1987

Effective Date

11/04/1987

Expiration Date

07/31/1990

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006