BENJAMIN CHARLES BOWLBY MD - Medical Doctor License in Illinois | # 125080492

BENJAMIN CHARLES BOWLBY MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080492

License Status

CANCELLED

Business

N

Title

MD

First Name

BENJAMIN

Middle

CHARLES

Last Name

BOWLBY

Business Name

BENJAMIN CHARLES BOWLBY MD

Original Issue Date

06/23/2022

Effective Date

06/23/2022

Expiration Date

06/22/2025

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

11/07/2024