BENJAMIN ALEJANDRO VAZQUEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074616

License Status

CANCELLED

Business

Title

First Name

BENJAMIN

Middle

ALEJANDRO

Last Name

VAZQUEZ

Business Name

BENJAMIN ALEJANDRO VAZQUEZ MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/18/2019