BENJAMIN FUSMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

CANCELLED

Business

First Name

BENJAMIN

Last Name

FUSMAN

Suffix

Business Name

BENJAMIN FUSMAN MD

Original Issue Date

11/08/1991

Effective Date

11/08/1991

Expiration Date

07/31/2005

City

EVANSTON

State

Zip

60203

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006