BEN J KOCHUVELI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

Title

First Name

BEN

Middle

Last Name

KOCHUVELI

Business Name

BEN J KOCHUVELI MD

Original Issue Date

03/19/2010

Effective Date

03/19/2010

Expiration Date

07/31/2011

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011