BENJAMIN BENNY LILIAV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125767

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

BENNY

Last Name

LILIAV

Suffix

Business Name

BENJAMIN BENNY LILIAV MD

Original Issue Date

05/17/2010

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014