GREGORY L BENNETT MD - Medical Doctor License in Illinois | # 125027104

GREGORY L BENNETT MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027104

License Status

EXPIRED

Business

N

First Name

GREGORY L

Last Name

BENNETT

Suffix

MD

Business Name

GREGORY L BENNETT MD

Original Issue Date

06/06/1991

Effective Date

06/06/1991

Expiration Date

06/30/1994

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006