BENZY J PADANILAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027140

License Status

EXPIRED

Business

First Name

BENZY J

Last Name

PADANILAM

Business Name

BENZY J PADANILAM

Original Issue Date

06/11/1991

Effective Date

06/11/1991

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006