BENJAMIN LUMICAO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

First Name

BENJAMIN

Last Name

LUMICAO

Suffix

Business Name

BENJAMIN LUMICAO MD

Original Issue Date

01/01/1997

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023