BENJAMIN DAVID TYRRELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

DAVID

Last Name

TYRRELL

Suffix

Business Name

BENJAMIN DAVID TYRRELL MD

Original Issue Date

09/17/2007

Effective Date

09/17/2007

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011