BENJAMIN CHAO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000679

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Last Name

CHAO

Business Name

BENJAMIN CHAO DO

Original Issue Date

05/21/2019

Effective Date

05/21/2019

Expiration Date

06/20/2019

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/02/2019