MARTIN AWIYAI BENJAMIN MD - Medical Doctor License in Illinois | # 125061697

MARTIN AWIYAI BENJAMIN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061697

License Status

EXPIRED

Business

N

Title

MD

First Name

MARTIN

Middle

AWIYAI

Last Name

BENJAMIN

Business Name

MARTIN AWIYAI BENJAMIN MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2017

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

09/19/2017