BENJAMIN JAMES MOGNI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158815

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

JAMES

Last Name

MOGNI

Business Name

BENJAMIN JAMES MOGNI MD

Original Issue Date

11/18/2021

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

08/07/2023