DAVID BENJAMIN MARMOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115730

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

BENJAMIN

Last Name

MARMOR

Suffix

Business Name

DAVID BENJAMIN MARMOR MD

Original Issue Date

04/19/2006

Effective Date

05/15/2020

Expiration Date

07/31/2023

City

EVANSTON

State

Zip

60203

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023