DOUG W BENKELMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096482

License Status

NOT RENEWED

Business

First Name

DOUG W

Last Name

BENKELMAN

Business Name

DOUG W BENKELMAN

Original Issue Date

08/18/1997

Effective Date

08/18/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

02/11/2013