BENJAMIN THOMAS GIELDA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051148

License Status

CANCELLED

Business

First Name

BENJAMIN

Middle

THOMAS

Last Name

GIELDA

Suffix

Business Name

BENJAMIN THOMAS GIELDA MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

06/23/2009