ANDREW ROBERT BENCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

ROBERT

Last Name

BENCK

Business Name

ANDREW ROBERT BENCK MD

Original Issue Date

04/04/2023

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

MORTON GROVE

State

Zip

60053

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/04/2023