BENJAMIN DAVID JORGENSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000728

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

DAVID

Last Name

JORGENSEN

Business Name

BENJAMIN DAVID JORGENSEN MD

Original Issue Date

03/01/2017

Effective Date

03/01/2017

Expiration Date

08/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

11/01/2017