JONAS SAMUEL BENSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052552

License Status

CANCELLED

Business

Title

First Name

JONAS

Middle

SAMUEL

Last Name

BENSON

Business Name

JONAS SAMUEL BENSON MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

04/08/2011