ELLEN C BENYA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

ELLEN C

Last Name

BENYA

Suffix

Business Name

ELLEN C BENYA MD

Original Issue Date

07/07/1995

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023