JENNIFER A BENGE Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000579

License Status

EXPIRED

Business

First Name

JENNIFER

Middle

Last Name

BENGE

Business Name

JENNIFER A BENGE

Original Issue Date

06/16/2005

Effective Date

06/16/2005

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006