BENJAMIN K PETRIE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075634

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

Last Name

PETRIE

Business Name

BENJAMIN K PETRIE MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Spinal Cord Injury Medicine

Ever Disciplined

LastModifiedDate

11/03/2025