BENJAMIN FREDERICK BRANCH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051742

License Status

EXPIRED

Business

First Name

BENJAMIN

Middle

FREDERICK

Last Name

BRANCH

Suffix

Business Name

BENJAMIN FREDERICK BRANCH DO

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/15/2009