HONORIO TABAL BENZON 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

HONORIO TABAL

Last Name

BENZON

Suffix

Business Name

HONORIO TABAL BENZON MD

Original Issue Date

01/01/1997

Effective Date

06/02/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020