MARY ELLEN BENZIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081359

License Status

NOT RENEWED

Business

First Name

MARY ELLEN

Last Name

BENZIK

Suffix

Business Name

MARY ELLEN BENZIK MD

Original Issue Date

08/22/1990

Effective Date

08/22/1990

Expiration Date

07/31/1993

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/17/2016