BENJAMIN CORNELL YAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051337

License Status

CANCELLED

Business

First Name

BENJAMIN

Middle

CORNELL

Last Name

YAN

Suffix

Business Name

BENJAMIN CORNELL YAN MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006