BENJAMIN G COOMBS DO - Medical Doctor License in Illinois | # 125062854

BENJAMIN G COOMBS DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062854

License Status

EXPIRED

Business

N

Title

DO

First Name

BENJAMIN

Middle

G

Last Name

COOMBS

Business Name

BENJAMIN G COOMBS DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2018

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

06/01/2016