BENJAMIN MICHAEL BOVA MD - Medical Doctor License in Illinois | # 125066671

BENJAMIN MICHAEL BOVA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066671

License Status

EXPIRED

Business

N

Title

MD

First Name

BENJAMIN

Middle

MICHAEL

Last Name

BOVA

Business Name

BENJAMIN MICHAEL BOVA MD

Original Issue Date

06/26/2015

Effective Date

06/26/2015

Expiration Date

06/25/2018

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

10/25/2018