JOSE M BENGOA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062947

License Status

NOT RENEWED

Business

First Name

JOSE M

Last Name

BENGOA

Suffix

Business Name

JOSE M BENGOA MD

Original Issue Date

08/24/1981

Effective Date

08/24/1981

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006