CRISPULO T BENITO JR MD - Medical Doctor License in Illinois | # 125024611

CRISPULO T BENITO JR MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024611

License Status

EXPIRED

Business

N

Title

MD

First Name

CRISPULO

Middle

T

Last Name

BENITO

Suffix

JR

Business Name

CRISPULO T BENITO JR MD

Original Issue Date

01/29/1990

Effective Date

01/29/1990

Expiration Date

01/29/1992

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006