CRISPULO T BENITO JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083976

License Status

NOT RENEWED

Business

Title

First Name

CRISPULO

Middle

Last Name

BENITO

Suffix

Business Name

CRISPULO T BENITO JR MD

Original Issue Date

02/11/1992

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

11/17/2014