MARY ELLEN BENZIK 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

MARY ELLEN

Last Name

BENZIK

Suffix

Business Name

MARY ELLEN BENZIK MD

Original Issue Date

10/16/1990

Effective Date

10/16/1990

Expiration Date

07/31/1993

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006