CHARLES L BENNETT MD - Medical Doctor License in Illinois | # 125012733

CHARLES L BENNETT MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012733

License Status

EXPIRED

Business

N

First Name

CHARLES

Middle

L

Last Name

BENNETT

Suffix

MD

Business Name

CHARLES L BENNETT MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

State

IL

Ever Disciplined

N

LastModifiedDate

04/29/2009