BENJAMIN CORNELIUS POWERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125841

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

CORNELIUS

Last Name

POWERS

Suffix

Business Name

BENJAMIN CORNELIUS POWERS MD

Original Issue Date

05/25/2010

Effective Date

05/25/2010

Expiration Date

07/31/2011

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011