BEN JEFFREY DOLIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058537

License Status

ACTIVE

Business

First Name

BEN

Middle

JEFFREY

Last Name

DOLIN

Suffix

Business Name

BEN JEFFREY DOLIN MD

Original Issue Date

04/19/1979

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2023