LARS BENJAMIN GARDNER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056507

License Status

EXPIRED

Business

First Name

LARS

Middle

BENJAMIN

Last Name

GARDNER

Suffix

Business Name

LARS BENJAMIN GARDNER DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

09/04/2015