BENJAMIN PAN LIU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043942

License Status

EXPIRED

Business

First Name

BENJAMIN

Middle

PAN

Last Name

LIU

Suffix

Business Name

BENJAMIN PAN LIU MD

Original Issue Date

06/17/2002

Effective Date

06/17/2002

Expiration Date

06/16/2003

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006