BENJAMIN NELS CANTRILL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147894

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

NELS

Last Name

CANTRILL

Business Name

BENJAMIN NELS CANTRILL DO

Original Issue Date

12/14/2018

Effective Date

12/14/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021