DANIEL BENJAMIN HODGES DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070944

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

BENJAMIN

Last Name

HODGES

Business Name

DANIEL BENJAMIN HODGES DO

Original Issue Date

06/30/2020

Effective Date

06/30/2020

Expiration Date

06/29/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

03/02/2020