BENJAMIN DYLAN KORNFELD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058698

License Status

CANCELLED

Business

Title

First Name

BENJAMIN

Middle

DYLAN

Last Name

KORNFELD

Business Name

BENJAMIN DYLAN KORNFELD MD

Original Issue Date

06/23/2010

Effective Date

06/23/2010

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/06/2010