MARIEL R BENJAMIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140028

License Status

NOT RENEWED

Business

Title

First Name

MARIEL

Middle

Last Name

BENJAMIN

Business Name

MARIEL R BENJAMIN MD

Original Issue Date

03/15/2016

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021