BENJAMIN PENG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028816

License Status

EXPIRED

Business

First Name

BENJAMIN

Last Name

PENG

Suffix

Business Name

BENJAMIN PENG MD

Original Issue Date

06/22/1992

Effective Date

06/22/1992

Expiration Date

06/21/1995

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006