BENJAMIN CORNELIUS POWERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

CORNELIUS

Last Name

POWERS

Suffix

Business Name

BENJAMIN CORNELIUS POWERS MD

Original Issue Date

06/03/2010

Effective Date

06/03/2010

Expiration Date

07/31/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011