BENJAMIN THOMAS FLAGEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

THOMAS

Last Name

FLAGEL

Suffix

Business Name

BENJAMIN THOMAS FLAGEL MD

Original Issue Date

02/06/2008

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023