BENITO WILLIAM AUBERGINE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051847

License Status

CANCELLED

Business

First Name

BENITO

Middle

WILLIAM

Last Name

AUBERGINE

Suffix

Business Name

BENITO WILLIAM AUBERGINE MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006