BENJAMIN DANIEL SHOGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

DANIEL

Last Name

SHOGAN

Business Name

BENJAMIN DANIEL SHOGAN MD

Original Issue Date

08/02/2017

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023