BENJAMIN CORNELL YAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122845

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

CORNELL

Last Name

YAN

Suffix

Business Name

BENJAMIN CORNELL YAN MD

Original Issue Date

03/16/2009

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021