BENJAMIN T CHAUCER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

Last Name

CHAUCER

Business Name

BENJAMIN T CHAUCER MD

Original Issue Date

05/27/2020

Effective Date

05/27/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023