JORGE BENAVIDES VASQUEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063560

License Status

EXPIRED

Business

Title

First Name

JORGE

Last Name

BENAVIDES VASQUEZ

Business Name

JORGE BENAVIDES VASQUEZ MD

Original Issue Date

06/27/2013

Effective Date

06/27/2013

Expiration Date

06/26/2014

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015