BENJAMIN MASON CARPENTER MD - Medical Doctor License in Illinois | # 125071268

BENJAMIN MASON CARPENTER MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071268

License Status

EXPIRED

Business

N

Title

MD

First Name

BENJAMIN

Middle

MASON

Last Name

CARPENTER

Business Name

BENJAMIN MASON CARPENTER MD

Original Issue Date

06/22/2017

Effective Date

06/22/2017

Expiration Date

06/21/2018

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

10/25/2018