BENJAMIN DOUGLAS MCDOWELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064147

License Status

CANCELLED

Business

Title

First Name

BENJAMIN

Middle

DOUGLAS

Last Name

MCDOWELL

Business Name

BENJAMIN DOUGLAS MCDOWELL MD

Original Issue Date

07/29/2016

Effective Date

07/29/2016

Expiration Date

07/28/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

06/01/2016