MICHELLE L BENES - Medical Doctor License in Illinois | # 125038467

MICHELLE L BENES

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038467

License Status

CANCELLED

Business

N

First Name

MICHELLE

Middle

L

Last Name

BENES

Business Name

MICHELLE L BENES

Original Issue Date

06/16/1998

Effective Date

06/16/1998

Expiration Date

06/30/2001

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006