CRAIG R BENNETT - Medical Doctor License in Illinois | # 125030196

CRAIG R BENNETT

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030196

License Status

EXPIRED

Business

N

First Name

CRAIG

Middle

R

Last Name

BENNETT

Business Name

CRAIG R BENNETT

Original Issue Date

06/09/1993

Effective Date

06/09/1993

Expiration Date

06/23/1998

State

IL

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006