TAMI DIANNE BENTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088877

License Status

NOT RENEWED

Business

First Name

TAMI DIANNE

Last Name

BENTON

Suffix

Business Name

TAMI DIANNE BENTON MD

Original Issue Date

07/06/1994

Effective Date

07/06/1994

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006