JORGE BENAVIDES VASQUEZ MD - Medical Doctor License in Illinois | # 125063560

JORGE BENAVIDES VASQUEZ MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063560

License Status

EXPIRED

Business

N

Title

MD

First Name

JORGE

Last Name

BENAVIDES VASQUEZ

Business Name

JORGE BENAVIDES VASQUEZ MD

Original Issue Date

06/27/2013

Effective Date

06/27/2013

Expiration Date

06/26/2014

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

03/13/2015