BENJAMIN WAYNE CHASKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

WAYNE

Last Name

CHASKA

Business Name

BENJAMIN WAYNE CHASKA MD

Original Issue Date

09/06/2013

Effective Date

06/13/2014

Expiration Date

07/31/2017

City

OSWEGO

State

Zip

60543

County

KENDALL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017