JONATHAN BENJAMIN IDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127130

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

BENJAMIN

Last Name

IDA

Business Name

JONATHAN BENJAMIN IDA MD

Original Issue Date

01/25/2011

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

06/02/2023