BENJAMIN A VANRAALTE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014249

License Status

EXPIRED

Business

First Name

BENJAMIN A

Last Name

VANRAALTE

Suffix

Business Name

BENJAMIN A VANRAALTE MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006