BENJAMIN AARON EMANUEL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047472

License Status

EXPIRED

Business

First Name

BENJAMIN

Middle

AARON

Last Name

EMANUEL

Suffix

Business Name

BENJAMIN AARON EMANUEL DO

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

06/27/2005

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006