ANDREW JAMES BENINTENDE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154708

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

JAMES

Last Name

BENINTENDE

Business Name

ANDREW JAMES BENINTENDE

Original Issue Date

11/06/2020

Effective Date

11/06/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023