JEFFREY BENJAMIN WYGODNY 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

First Name

JEFFREY BENJAMIN

Last Name

WYGODNY

Suffix

Business Name

JEFFREY BENJAMIN WYGODNY MD

Original Issue Date

06/15/1995

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023