BENJAMIN R STOCKTON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040665

License Status

EXPIRED

Business

First Name

BENJAMIN

Middle

Last Name

STOCKTON

Business Name

BENJAMIN R STOCKTON

Original Issue Date

06/24/2000

Effective Date

06/24/2000

Expiration Date

07/16/2006

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006