BENTON C LAOANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

BENTON C

Last Name

LAOANG

Suffix

Business Name

BENTON C LAOANG MD

Original Issue Date

12/11/1985

Effective Date

12/11/1985

Expiration Date

07/31/2008

City

MATTESON

State

Zip

60443

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008