MATTHEW STEVEN BENZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036604

License Status

EXPIRED

Business

First Name

MATTHEW STEVEN

Last Name

BENZ

Business Name

MATTHEW STEVEN BENZ

Original Issue Date

06/11/1997

Effective Date

06/11/1997

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006