BENJAMIN JAMES MEDRANO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

JAMES

Last Name

MEDRANO

Business Name

BENJAMIN JAMES MEDRANO

Original Issue Date

10/07/2024

Effective Date

10/07/2024

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60301

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/07/2024