BENJAMIN BIENIA MD - Medical Doctor License in Illinois | # 125065554

BENJAMIN BIENIA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065554

License Status

CANCELLED

Business

N

Title

MD

First Name

BENJAMIN

Last Name

BIENIA

Business Name

BENJAMIN BIENIA MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

04/30/2015