BENJAMIN DANIEL SHOGAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056128

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

DANIEL

Last Name

SHOGAN

Business Name

BENJAMIN DANIEL SHOGAN MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

08/29/2012