SEAN T BENHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085148

License Status

NOT RENEWED

Business

First Name

SEAN T

Last Name

BENHAM

Suffix

Business Name

SEAN T BENHAM MD

Original Issue Date

08/13/1992

Effective Date

08/13/1992

Expiration Date

07/31/1999

City

MANITOWOC

State

Zip

54220

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006