DOROTHY BENNETT MD - Medical Doctor License in Illinois | # 125078194

DOROTHY BENNETT MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078194

License Status

CANCELLED

Business

N

Title

MD

First Name

DOROTHY

Last Name

BENNETT

Business Name

DOROTHY BENNETT MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

04/26/2021