BENJAMIN GERARD ROMER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065989

License Status

CANCELLED

Business

Title

First Name

BENJAMIN

Middle

GERARD

Last Name

ROMER

Business Name

BENJAMIN GERARD ROMER MD

Original Issue Date

06/30/2014

Effective Date

06/30/2014

Expiration Date

06/29/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/30/2014