DAVID JEROME BENDITZSON MD 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

DAVID JEROME

Last Name

BENDITZSON

Suffix

Business Name

DAVID JEROME BENDITZSON MD

Original Issue Date

01/01/1997

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023