MATHEW BENJAMIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097745

License Status

NOT RENEWED

Business

First Name

MATHEW

Last Name

BENJAMIN

Business Name

MATHEW BENJAMIN

Original Issue Date

04/28/1998

Effective Date

04/28/1998

Expiration Date

07/31/2002

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006