BENJAMIN ANGELO D QUIAMCO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059635

License Status

EXPIRED

Business

Title

First Name

BENJAMIN ANGELO

Middle

Last Name

QUIAMCO

Business Name

BENJAMIN ANGELO D QUIAMCO MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015