ERIC J BENNETT MD - Medical Doctor License in Indiana | # 036075878

ERIC J BENNETT MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075878

License Status

NOT RENEWED

Business

N

First Name

ERIC J

Last Name

BENNETT

Suffix

MD

Business Name

ERIC J BENNETT MD

Original Issue Date

09/05/1987

Effective Date

09/05/1987

Expiration Date

07/31/1999

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006