BENJAMIN STEPHAN MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042004365

License Status

NOT RENEWED

Business

Business Name

BENJAMIN STEPHAN MD SC

Original Issue Date

12/03/1980

Effective Date

12/03/1980

Expiration Date

01/01/1994

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006