MICHELLE L BENES Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038467

License Status

CANCELLED

Business

First Name

MICHELLE

Middle

Last Name

BENES

Business Name

MICHELLE L BENES

Original Issue Date

06/16/1998

Effective Date

06/16/1998

Expiration Date

06/30/2001

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006