JOSEPH S BENJAMIN - Medical Doctor License in Illinois | # 125038912

JOSEPH S BENJAMIN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038912

License Status

EXPIRED

Business

N

First Name

JOSEPH

Middle

S

Last Name

BENJAMIN

Business Name

JOSEPH S BENJAMIN

Original Issue Date

01/28/1999

Effective Date

01/28/1999

Expiration Date

04/30/2002

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006