BENJAMIN ADAM INGRAHAM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148231

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

ADAM

Last Name

INGRAHAM

Business Name

BENJAMIN ADAM INGRAHAM DO

Original Issue Date

01/31/2019

Effective Date

01/31/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021