JUSTINE M BENIN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172873

License Status

ACTIVE

Business

Title

First Name

JUSTINE

Middle

Last Name

BENIN

Business Name

JUSTINE M BENIN DO

Original Issue Date

11/27/2024

Effective Date

11/27/2024

Expiration Date

07/31/2026

City

LAKE GENEVA

State

Zip

53147

Ever Disciplined

LastModifiedDate

11/27/2024