BENJAMIN CUMMING KRASITY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069998

License Status

CANCELLED

Business

Title

First Name

BENJAMIN

Middle

CUMMING

Last Name

KRASITY

Business Name

BENJAMIN CUMMING KRASITY MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/02/2017