BENJAMIN WASHBURN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075445

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Last Name

WASHBURN

Business Name

BENJAMIN WASHBURN MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Sports Medicine (PM&R)

Ever Disciplined

LastModifiedDate

10/11/2022