ERWIN BENNETT MD - Medical Doctor License in Illinois | # 125056391

ERWIN BENNETT MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056391

License Status

EXPIRED

Business

N

First Name

ERWIN

Last Name

BENNETT

Suffix

MD

Business Name

ERWIN BENNETT MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

State

IL

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

N

LastModifiedDate

09/04/2015