JONAS SAMUEL BENSON MD - Medical Doctor License in Illinois | # 125052552

JONAS SAMUEL BENSON MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052552

License Status

CANCELLED

Business

N

Title

MD

First Name

JONAS

Middle

SAMUEL

Last Name

BENSON

Business Name

JONAS SAMUEL BENSON MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

State

IL

Specialty/Qualifier

Urology

Ever Disciplined

N

LastModifiedDate

04/08/2011