WILLIAM R BENSON III MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****43

NOT RENEWED

N

WILLIAM R

BENSON

III MD

WILLIAM R BENSON III MD

09/06/2002

04/17/2008

07/31/2011

CHICAGO

IL

60619

COOK

II III IV V

N

11/10/2011