JOSE M BENGOA MD - Medical Doctor License in Illinois | # 036062947

JOSE M BENGOA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062947

License Status

NOT RENEWED

Business

N

First Name

JOSE M

Last Name

BENGOA

Suffix

MD

Business Name

JOSE M BENGOA MD

Original Issue Date

08/24/1981

Effective Date

08/24/1981

Expiration Date

07/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006