RAYMOND BENJAMIN STADIEM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126969

License Status

NOT RENEWED

Business

Title

First Name

RAYMOND

Middle

BENJAMIN

Last Name

STADIEM

Business Name

RAYMOND BENJAMIN STADIEM MD

Original Issue Date

12/13/2010

Effective Date

04/14/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014