BENJAMIN DEWART MCDONALD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070734

License Status

CANCELLED

Business

Title

First Name

BENJAMIN

Middle

DEWART

Last Name

MCDONALD

Business Name

BENJAMIN DEWART MCDONALD MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

02/19/2020