CARLOS ALBERTO BENBASSAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094376

License Status

NOT RENEWED

Business

First Name

CARLOS ALBERTO

Last Name

BENBASSAT

Suffix

Business Name

CARLOS ALBERTO BENBASSAT MD

Original Issue Date

11/04/1996

Effective Date

11/04/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006