BENJAMIN ERNST ONDERDONK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069772

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

ERNST

Last Name

ONDERDONK

Business Name

BENJAMIN ERNST ONDERDONK MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

10/11/2022