BENJAMIN T AGANA MD - Medical Doctor License in Illinois | # 125026600

BENJAMIN T AGANA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026600

License Status

EXPIRED

Business

N

First Name

BENJAMIN T

Last Name

AGANA

Suffix

MD

Business Name

BENJAMIN T AGANA MD

Original Issue Date

05/10/1991

Effective Date

05/10/1991

Expiration Date

06/23/1992

State

IL

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

N

LastModifiedDate

09/22/2006