SCOTT CHARLES BENSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****21

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

CHARLES

Last Name

BENSON

Business Name

SCOTT CHARLES BENSON

Original Issue Date

04/24/2003

Effective Date

04/24/2003

Expiration Date

03/01/2006

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/26/2006