BENJAMIN ALLEN KAUMEYER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070961

License Status

CANCELLED

Business

Title

First Name

BENJAMIN

Middle

ALLEN

Last Name

KAUMEYER

Business Name

BENJAMIN ALLEN KAUMEYER MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

02/10/2020