BENJAMIN A JAGODZINSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

BENJAMIN A

Last Name

JAGODZINSKI

Suffix

Business Name

BENJAMIN A JAGODZINSKI MD

Original Issue Date

01/01/1997

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

PALOS PARK

State

Zip

60464

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020