ADAM BENJAMIN WARD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131377

License Status

NOT RENEWED

Business

Title

First Name

ADAM

Middle

BENJAMIN

Last Name

WARD

Business Name

ADAM BENJAMIN WARD DO

Original Issue Date

09/13/2012

Effective Date

09/13/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014