ANGELA MILLER BENNETT MD - Medical Doctor License in Illinois | # 036107833

ANGELA MILLER BENNETT MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107833

License Status

NOT RENEWED

Business

N

First Name

ANGELA

Middle

MILLER

Last Name

BENNETT

Suffix

MD

Business Name

ANGELA MILLER BENNETT MD

Original Issue Date

09/13/2002

Effective Date

09/13/2002

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006