MARK E BENSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114040

License Status

INACTIVE

Business

First Name

MARK

Middle

Last Name

BENSON

Suffix

Business Name

MARK E BENSON MD

Original Issue Date

06/28/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MADISON

State

Zip

53717

Ever Disciplined

LastModifiedDate

04/17/2008