BENJAMIN MANDEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056791

License Status

EXPIRED

Business

First Name

BENJAMIN

Last Name

MANDEL

Suffix

Business Name

BENJAMIN MANDEL MD

Original Issue Date

06/27/2009

Effective Date

06/27/2009

Expiration Date

06/26/2010

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

07/08/2010