DOUG W BENKELMAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032590

License Status

EXPIRED

Business

First Name

DOUG W

Last Name

BENKELMAN

Business Name

DOUG W BENKELMAN

Original Issue Date

05/19/1995

Effective Date

05/19/1995

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006