BENJAMIN WAYNE LIGHT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

WAYNE

Last Name

LIGHT

Suffix

Business Name

BENJAMIN WAYNE LIGHT MD

Original Issue Date

07/31/2000

Effective Date

07/31/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006