BENJAMIN STEPHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036153

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Last Name

STEPHAN

Suffix

Business Name

BENJAMIN STEPHAN MD

Original Issue Date

10/07/1959

Effective Date

07/09/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023