HOLLY A BENSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107608

License Status

INACTIVE

Business

First Name

HOLLY

Middle

Last Name

BENSON

Suffix

Business Name

HOLLY A BENSON MD

Original Issue Date

08/05/2002

Effective Date

08/05/2008

Expiration Date

07/31/2011

City

MADISON

State

Zip

53717

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/07/2011