MARTIN AWIYAI BENJAMIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061697

License Status

EXPIRED

Business

Title

First Name

MARTIN

Middle

AWIYAI

Last Name

BENJAMIN

Business Name

MARTIN AWIYAI BENJAMIN MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/19/2017