MARK THOMAS BEHNAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

THOMAS

Last Name

BEHNAM

Business Name

MARK THOMAS BEHNAM MD

Original Issue Date

10/14/2014

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023