MARK JEFFREY BENJAMIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

MARK

Middle

JEFFREY

Last Name

BENJAMIN

Suffix

Business Name

MARK JEFFREY BENJAMIN MD

Original Issue Date

08/19/1997

Effective Date

08/19/1997

Expiration Date

07/31/2005

City

HOFFMAN ESTATES

State

Zip

60194

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020