BRIAN THOMAS BENJAMIN MD - Medical Doctor License in Illinois | # 125066781

BRIAN THOMAS BENJAMIN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066781

License Status

EXPIRED

Business

N

Title

MD

First Name

BRIAN

Middle

THOMAS

Last Name

BENJAMIN

Business Name

BRIAN THOMAS BENJAMIN MD

Original Issue Date

06/22/2015

Effective Date

06/22/2015

Expiration Date

06/21/2018

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

10/25/2018