BENJAMIN GEORGE BROGHAMMER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

GEORGE

Last Name

BROGHAMMER

Business Name

BENJAMIN GEORGE BROGHAMMER MD

Original Issue Date

05/24/2023

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023