BENJAMIN GARY BRENNING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147197

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

GARY

Last Name

BRENNING

Business Name

BENJAMIN GARY BRENNING MD

Original Issue Date

08/14/2018

Effective Date

08/14/2018

Expiration Date

09/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021