BEN J SMALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140451

License Status

ACTIVE

Business

Title

First Name

BEN

Middle

Last Name

SMALL

Business Name

BEN J SMALL MD

Original Issue Date

04/21/2016

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2023