SHELBY J BENNETT MD - Medical Doctor License in Illinois | # 036132829

SHELBY J BENNETT MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132829

License Status

NOT RENEWED

Business

N

Title

MD

First Name

SHELBY

Middle

J

Last Name

BENNETT

Business Name

SHELBY J BENNETT MD

Original Issue Date

05/09/2013

Effective Date

06/03/2014

Expiration Date

07/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017