RUSSELL GEOFFREY BENUCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

Title

First Name

RUSSELL

Middle

GEOFFREY

Last Name

BENUCK

Business Name

RUSSELL GEOFFREY BENUCK MD

Original Issue Date

07/11/2014

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

DEERFIELD

State

Zip

60015

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023