BENITO BLANCO PEREZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038885

License Status

EXPIRED

Business

First Name

BENITO

Middle

BLANCO

Last Name

PEREZ

Suffix

Business Name

BENITO BLANCO PEREZ MD

Original Issue Date

12/01/1998

Effective Date

12/01/1998

Expiration Date

11/30/2001

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006