ANDREW J BENJAMIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062909

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

Last Name

BENJAMIN

Business Name

ANDREW J BENJAMIN MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/24/2014