BENJAMIN REISS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140490

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Last Name

REISS

Business Name

BENJAMIN REISS MD

Original Issue Date

04/26/2016

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021