Benjamin Moultrie Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036038273

Status

Expired (Not Renewed)

First issued

December 26, 1962

License holder

Benjamin Moultrie Md

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

12/26/1962

Other Illinois licenses under this name

• IL
  Benjamin Moultrie Md

  License 33*****06

  Licensed Physician Controlled Substance (Medical Board)
  Expired

  Chicago, IL

  Expired Jan 1, 1997

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