BENJAMIN LAURENCE WAKEFIELD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

LAURENCE

Last Name

WAKEFIELD

Business Name

BENJAMIN LAURENCE WAKEFIELD

Original Issue Date

12/14/2006

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023