BENJAMIN JOSEPH DAVIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069536

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

JOSEPH

Last Name

DAVIS

Business Name

BENJAMIN JOSEPH DAVIS MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

10/11/2022