BENJAMIN U SAMUEL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028676

License Status

EXPIRED

Business

First Name

BENJAMIN U

Last Name

SAMUEL

Business Name

BENJAMIN U SAMUEL

Original Issue Date

06/10/1992

Effective Date

06/10/1992

Expiration Date

06/24/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006