MARY ELLEN BENZIK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022190

License Status

EXPIRED

Business

First Name

MARY ELLEN

Last Name

BENZIK

Suffix

Business Name

MARY ELLEN BENZIK MD

Original Issue Date

05/11/1988

Effective Date

05/11/1988

Expiration Date

07/01/1991

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006