BENJAMIN THOMAS GIELDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127153

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

THOMAS

Last Name

GIELDA

Suffix

Business Name

BENJAMIN THOMAS GIELDA MD

Original Issue Date

01/28/2011

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

11/17/2014