BENJAMIN JAMES MOGNI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

JAMES

Last Name

MOGNI

Business Name

BENJAMIN JAMES MOGNI MD

Original Issue Date

11/29/2021

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023