DAVID BENJAMIN PIERCE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

BENJAMIN

Last Name

PIERCE

Suffix

Business Name

DAVID BENJAMIN PIERCE MD

Original Issue Date

06/28/2019

Effective Date

06/28/2019

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021