BENJAMIN SCOTT WALLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134525

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

SCOTT

Last Name

WALLIS

Business Name

BENJAMIN SCOTT WALLIS MD

Original Issue Date

01/31/2014

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

06/21/2023