BENJAMIN ROSS SANFILIPPO COHN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064899

License Status

CANCELLED

Business

Title

First Name

BENJAMIN

Middle

ROSS

Last Name

SANFILIPPO COHN

Business Name

BENJAMIN ROSS SANFILIPPO COHN MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/03/2014