MATTHEW BENJAMIN - Medical Doctor License in Illinois | # 125033958

MATTHEW BENJAMIN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033958

License Status

EXPIRED

Business

N

First Name

MATTHEW

Last Name

BENJAMIN

Business Name

MATTHEW BENJAMIN

Original Issue Date

10/05/1995

Effective Date

10/05/1995

Expiration Date

10/03/1998

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006