EMILY BENNIS DO - Medical Doctor License in Illinois | # 125079213

EMILY BENNIS DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079213

License Status

CANCELLED

Business

N

Title

DO

First Name

EMILY

Last Name

BENNIS

Business Name

EMILY BENNIS DO

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

03/10/2022