MINA MECHEAL BENJAMIN MEHANNI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

Title

First Name

MINA

Middle

MECHEAL BENJAMIN

Last Name

MEHANNI

Business Name

MINA MECHEAL BENJAMIN MEHANNI MD

Original Issue Date

08/12/2020

Effective Date

08/12/2020

Expiration Date

07/31/2023

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023