BENJAMIN LAURENCE WAKEFIELD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117313

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

LAURENCE

Last Name

WAKEFIELD

Business Name

BENJAMIN LAURENCE WAKEFIELD

Original Issue Date

12/14/2006

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

06/21/2023