License holder summary

KEITH A BENGTSON is a Temporary Medical Doctor License licensed to practice in Pennsylvania. The address on file for KEITH A BENGTSON is Philadelphia PA 19107. This licensed professional license is not current. The license was granted 10/06/2005 and expired on 10/30/2005.

Pennsylvania

Department of State

KEITH A BENGTSON
Temporary Medical Doctor License
License number
TMD002055
Date granted
10/06/2005
Date expires
10/30/2005
Class
Temporary Medical Doctor License
Status
Expired
Address
Philadelphia PA 19107
palicensing.org
ID 16650674
LAST UPDATED 2024-02-28 13:59:02 UTC

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