KENNETH GENE BENNET MD - Medical Doctor License in Illinois | # 125048836

KENNETH GENE BENNET MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048836

License Status

EXPIRED

Business

N

Title

MD

First Name

KENNETH

Middle

GENE

Last Name

BENNET

Business Name

KENNETH GENE BENNET MD

Original Issue Date

11/16/2004

Effective Date

11/16/2004

Expiration Date

11/15/2006

State

IL

Specialty/Qualifier

Nuclear Medicine

Ever Disciplined

N

LastModifiedDate

01/26/2007