BENJAMIN THOMAS PRINCE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129681

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

THOMAS

Last Name

PRINCE

Business Name

BENJAMIN THOMAS PRINCE MD

Original Issue Date

02/29/2012

Effective Date

06/04/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017