JARED L BINGHAM - Medical Doctor License in Illinois | # 125036354

JARED L BINGHAM

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036354

License Status

EXPIRED

Business

N

First Name

JARED

Middle

L

Last Name

BINGHAM

Business Name

JARED L BINGHAM

Original Issue Date

05/28/1997

Effective Date

05/28/1997

Expiration Date

06/30/2000

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006