BENJAMIN CORNELIUS POWERS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053386

License Status

CANCELLED

Business

First Name

BENJAMIN

Middle

CORNELIUS

Last Name

POWERS

Suffix

Business Name

BENJAMIN CORNELIUS POWERS MD

Original Issue Date

06/22/2007

Effective Date

06/22/2007

Expiration Date

06/21/2010

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/05/2007