LANE BURNETTE BENES MD - Medical Doctor License in Illinois | # 125062821

LANE BURNETTE BENES MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062821

License Status

CANCELLED

Business

N

First Name

LANE

Middle

BURNETTE

Last Name

BENES

Suffix

MD

Business Name

LANE BURNETTE BENES MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

03/24/2014