PHILIP S BENJAKUL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106769

License Status

ACTIVE

Business

First Name

PHILIP

Middle

Last Name

BENJAKUL

Suffix

Business Name

PHILIP S BENJAKUL MD

Original Issue Date

04/12/2002

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

07/28/2023