BENJAMIN T CHAUCER MD - Medical Doctor License in Illinois | # 125071244

BENJAMIN T CHAUCER MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071244

License Status

CANCELLED

Business

N

Title

MD

First Name

BENJAMIN

Middle

T

Last Name

CHAUCER

Business Name

BENJAMIN T CHAUCER MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

05/18/2017