BENJAMIN NOAH GILMORE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044960

License Status

EXPIRED

Business

First Name

BENJAMIN

Middle

NOAH

Last Name

GILMORE

Suffix

Business Name

BENJAMIN NOAH GILMORE MD

Original Issue Date

06/18/2002

Effective Date

06/18/2002

Expiration Date

06/17/2005

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006