BENIGNO WALDO A DAGAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095545

License Status

NOT RENEWED

Business

First Name

BENIGNO WALDO A

Last Name

DAGAN

Business Name

BENIGNO WALDO A DAGAN

Original Issue Date

05/30/1997

Effective Date

05/30/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006