LAUREL J BENSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

LAUREL

Middle

Last Name

BENSON

Suffix

Business Name

LAUREL J BENSON MD

Original Issue Date

06/20/1991

Effective Date

06/20/1991

Expiration Date

07/31/1996

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006