BENJAMIN PENG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Last Name

PENG

Suffix

Business Name

BENJAMIN PENG MD

Original Issue Date

10/24/2014

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

HARVEY

State

Zip

60426

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021