BRIAN THOMAS BENJAMIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066781

License Status

EXPIRED

Business

Title

First Name

BRIAN

Middle

THOMAS

Last Name

BENJAMIN

Business Name

BRIAN THOMAS BENJAMIN MD

Original Issue Date

06/22/2015

Effective Date

06/22/2015

Expiration Date

06/21/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/25/2018