BENJAMIN JOSEPH MILLER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078412

License Status

CANCELLED

Business

Title

First Name

BENJAMIN

Middle

JOSEPH

Last Name

MILLER

Business Name

BENJAMIN JOSEPH MILLER MD

Original Issue Date

06/21/2021

Effective Date

06/21/2021

Expiration Date

06/20/2024

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/15/2021