JEFFREY I BENNETT MD - Medical Doctor License in Illinois | # 125021129

JEFFREY I BENNETT MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021129

License Status

EXPIRED

Business

N

First Name

JEFFREY I

Last Name

BENNETT

Suffix

MD

Business Name

JEFFREY I BENNETT MD

Original Issue Date

06/03/1987

Effective Date

06/03/1987

Expiration Date

06/25/1990

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006