BENJAMIN RONALD HOLLETT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075706

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

RONALD

Last Name

HOLLETT

Business Name

BENJAMIN RONALD HOLLETT DO

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2023

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/06/2024