ELLEN C BENYA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020833

License Status

EXPIRED

Business

First Name

ELLEN C

Last Name

BENYA

Suffix

Business Name

ELLEN C BENYA MD

Original Issue Date

05/13/1987

Effective Date

05/13/1987

Expiration Date

06/23/1990

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006