BENJAMIN THOMAS GIELDA MD - Medical Doctor License in Illinois | # 125051148

BENJAMIN THOMAS GIELDA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051148

License Status

CANCELLED

Business

N

First Name

BENJAMIN

Middle

THOMAS

Last Name

GIELDA

Suffix

MD

Business Name

BENJAMIN THOMAS GIELDA MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

State

IL

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

N

LastModifiedDate

06/23/2009