RICHARD C BENNETT II DPM - Podiatrist License in Illinois | # 31*****27

RICHARD C BENNETT II DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

N

First Name

RICHARD C

Last Name

BENNETT II

Suffix

DPM

Business Name

RICHARD C BENNETT II DPM

Original Issue Date

04/13/1988

Effective Date

01/12/2017

Expiration Date

01/31/2019

State

IL

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

03/28/2019