JENNIFER A BENGE - Podiatrist License in Illinois | # 135000579

JENNIFER A BENGE

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000579

License Status

EXPIRED

Business

N

First Name

JENNIFER

Middle

A

Last Name

BENGE

Business Name

JENNIFER A BENGE

Original Issue Date

06/16/2005

Effective Date

06/16/2005

Expiration Date

06/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006