BENJAMIN T CHAUCER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153028

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

Last Name

CHAUCER

Business Name

BENJAMIN T CHAUCER MD

Original Issue Date

05/18/2020

Effective Date

05/18/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

11/30/2023