RAD BEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065310

License Status

NOT RENEWED

Business

First Name

RAD

Last Name

BEN

Suffix

Business Name

RAD BEN MD

Original Issue Date

09/09/1982

Effective Date

09/09/1982

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006