BENIGNO WALDO A DAGAN - Medical Doctor License in Illinois | # 125031858

BENIGNO WALDO A DAGAN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031858

License Status

EXPIRED

Business

N

First Name

BENIGNO WALDO A

Last Name

DAGAN

Business Name

BENIGNO WALDO A DAGAN

Original Issue Date

06/16/1994

Effective Date

06/16/1994

Expiration Date

06/24/1997

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006