BENJAMIN NELS CANTRILL DO - Medical Doctor License in Illinois | # 125068088

BENJAMIN NELS CANTRILL DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068088

License Status

CANCELLED

Business

N

Title

DO

First Name

BENJAMIN

Middle

NELS

Last Name

CANTRILL

Business Name

BENJAMIN NELS CANTRILL DO

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2019

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

04/25/2016