BENJAMIN JAMES MARSHALL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061113

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

JAMES

Last Name

MARSHALL

Business Name

BENJAMIN JAMES MARSHALL DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

08/16/2016