BENJAMIN CHARLES MAYO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070351

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

CHARLES

Last Name

MAYO

Business Name

BENJAMIN CHARLES MAYO MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

10/11/2022