BENJAMINAS BURBA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000009

License Status

EXPIRED

Business

First Name

BENJAMINAS

Last Name

BURBA

Business Name

BENJAMINAS BURBA

Original Issue Date

09/20/1994

Effective Date

09/20/1994

Expiration Date

01/19/1995

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006