JESSICA L BENJAMIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056307

License Status

CANCELLED

Business

Title

First Name

JESSICA

Middle

Last Name

BENJAMIN

Business Name

JESSICA L BENJAMIN MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/26/2009