BENJAMIN DAVID WILLENBRING MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062180

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

DAVID

Last Name

WILLENBRING

Business Name

BENJAMIN DAVID WILLENBRING MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/04/2015