JOHN WILLIAM BENGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

JOHN WILLIAM

Last Name

BENGE

Suffix

Business Name

JOHN WILLIAM BENGE MD

Original Issue Date

09/11/2000

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021