LAWRENCE N BENNETT MD - Medical Doctor License in Illinois | # 125017060

LAWRENCE N BENNETT MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017060

License Status

EXPIRED

Business

N

First Name

LAWRENCE N

Last Name

BENNETT

Suffix

MD

Business Name

LAWRENCE N BENNETT MD

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

07/01/1986

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006