KATHLEEN M BENNETT - Medical Doctor License in Illinois | # 125017623

KATHLEEN M BENNETT

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017623

License Status

EXPIRED

Business

N

First Name

KATHLEEN

Middle

M

Last Name

BENNETT

Business Name

KATHLEEN M BENNETT

Original Issue Date

08/09/1984

Effective Date

08/09/1984

Expiration Date

07/01/1986

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006