LISA A BENNING - Medical Doctor License in Illinois | # 125020680

LISA A BENNING

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020680

License Status

EXPIRED

Business

N

First Name

LISA A

Last Name

BENNING

Business Name

LISA A BENNING

Original Issue Date

05/04/1987

Effective Date

05/04/1987

Expiration Date

06/26/1990

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006