PHILIP S BENJAKUL MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****11

NOT RENEWED

N

PHILIP

S

BENJAKUL

MD

PHILIP S BENJAKUL MD

04/26/2002

07/14/2017

09/30/2020

LAKE FOREST

IL

60045

LAKE

II III IV V

N

01/14/2021