SADIA BENZAQUEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

SADIA

Last Name

BENZAQUEN

Business Name

SADIA BENZAQUEN

Original Issue Date

03/26/2009

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014