BENJAMIN E BALL - Medical Doctor License in Illinois | # 125020095

BENJAMIN E BALL

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020095

License Status

EXPIRED

Business

N

First Name

BENJAMIN

Middle

E

Last Name

BALL

Business Name

BENJAMIN E BALL

Original Issue Date

07/16/1986

Effective Date

07/16/1986

Expiration Date

07/01/1989

State

IL

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

N

LastModifiedDate

09/22/2006