MARK JEFFREY BENJAMIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031157

License Status

EXPIRED

Business

First Name

MARK

Middle

JEFFREY

Last Name

BENJAMIN

Suffix

Business Name

MARK JEFFREY BENJAMIN MD

Original Issue Date

05/13/1994

Effective Date

05/13/1994

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006