MARK JEFFREY BENJAMIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

MARK

Middle

JEFFREY

Last Name

BENJAMIN

Suffix

Business Name

MARK JEFFREY BENJAMIN MD

Original Issue Date

04/28/1997

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LAGRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023