MATTHEW BENJAMIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033958

License Status

EXPIRED

Business

First Name

MATTHEW

Last Name

BENJAMIN

Business Name

MATTHEW BENJAMIN

Original Issue Date

10/05/1995

Effective Date

10/05/1995

Expiration Date

10/03/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006