STEFANIE H DUDA BENJAMIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034525

License Status

EXPIRED

Business

First Name

STEFANIE

Middle

H DUDA

Last Name

BENJAMIN

Suffix

Business Name

STEFANIE H DUDA BENJAMIN MD

Original Issue Date

07/01/1996

Effective Date

07/01/1996

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006