BENJAMIN DAVID LE MOINE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060751

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

DAVID

Last Name

LE MOINE

Business Name

BENJAMIN DAVID LE MOINE MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/19/2018