AILEEN DUQUE BENJAKUL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

AILEEN

Middle

DUQUE

Last Name

BENJAKUL

Suffix

Business Name

AILEEN DUQUE BENJAKUL MD

Original Issue Date

10/12/2004

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023