HOLLY J BENJAMIN - Medical Doctor License in Illinois | # 125031068

HOLLY J BENJAMIN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031068

License Status

EXPIRED

Business

N

First Name

HOLLY J

Last Name

BENJAMIN

Business Name

HOLLY J BENJAMIN

Original Issue Date

05/11/1994

Effective Date

05/11/1994

Expiration Date

06/23/1997

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006