JUSTINE M BENIN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062763

License Status

EXPIRED

Business

Title

First Name

JUSTINE

Middle

Last Name

BENIN

Business Name

JUSTINE M BENIN DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/16/2016