BENJAMIN L STRADLING DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044234

License Status

CANCELLED

Business

First Name

BENJAMIN

Middle

Last Name

STRADLING

Suffix

Business Name

BENJAMIN L STRADLING DO

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006