BENJAMIN KEI MATSUMOTO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

BENJAMIN KEI

Last Name

MATSUMOTO

Suffix

Business Name

BENJAMIN KEI MATSUMOTO MD

Original Issue Date

10/20/1981

Effective Date

10/20/1981

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60130

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020