BENJAMIN JASON SEIDES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

JASON

Last Name

SEIDES

Business Name

BENJAMIN JASON SEIDES MD

Original Issue Date

10/24/2013

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LA GRANGE HIGHLANDS

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023