BENJAMIN WAYNE CHASKA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133622

License Status

INACTIVE

Business

Title

First Name

BENJAMIN

Middle

WAYNE

Last Name

CHASKA

Business Name

BENJAMIN WAYNE CHASKA MD

Original Issue Date

07/26/2013

Effective Date

06/13/2014

Expiration Date

07/31/2017

City

FARGO

State

Zip

58104

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

04/12/2017